Bovine Tuberculosis in Italy Ministry of Health - ITALY

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Bovine Tuberculosis in Italy 2015 Ministry of Health - ITALY

ITALY: Officially Tuberculosis Free Territories (30-06-2016) ITALIAN REGIONS ITALIAN PROVINCES EMILIA-ROMAGNA Whole Region (9) LOMBARDIA Whole Region (11) MARCHE Ascoli Piceno, Fermo, Ancona, Pesaro-Urbino TOSCANA Whole Region (10) TRENTINO ALTO ADIGE Whole Region (2) PIEMONTE Whole Region (9) LIGURIA Whole Region (4) FRIULI VENEZIA GIULIA Whole Region (4) VENETO Whole Region (7) SARDEGNA LAZIO ABRUZZO Cagliari, Medio-Campidano, Ogliastra, Olbia-Tempio, Oristano Rieti, Viterbo Pescara

ITALIAN REGIONS NoTBF ITALY: Officially Tuberculosis No TBFree Provinces (30-06-2016) Prevalence- control VALLE D AOSTA 0.00% - 100% UMBRIA 0.00% - 100% MARCHE LAZIO 0.00% - 100% 0.49% - 100% ABRUZZO 0.10% - 99.71% MOLISE CAMPANIA PUGLIA BASILICATA SARDEGNA CALABRIA SICILIA TOTAL NOTbF Prevalence calculated on whole ITALY 0.06% - 100% 0.33% - 99,20% 0.25% - 100% 0.08% - 99,92% 0.00% - 82,00% 0.37% - 100% 3.71% - 99.77% 0.85% 0,36% 3.71% positiv e animal s progre ss 2010-2015 0,00% 0,10% 0,20% 0,30% 0,40% 0.18% 0,70% 0,80% 0,90% 1,00% 2010 2011 2012 2013 2014 2015

Italian bovine Tb outbreaks 2014-2015 (regions N-OTF and OTF) REGION OUTBREAK CLOSED 2015 OUTBREAK CLOSED 2016 OUTBREAK CONFIRMED TOTAL 2015 TOTAL 2014 Abruzzo 2 0 0 2 2 Basilicata 0 0 0 0 3 Calabria 11 1 8 20 18 Campania 22 3 36 61 47 Friuli Venezia Giulia 0 0 0 0 1 Lazio 4 1 7 12 13 Liguria 0 0 0 0 1 Lombardia 2 0 0 2 1 Marche 1 0 0 1 0 Molise 0 0 1 1 2 Piemonte 3 0 1 4 4 Puglia 11 0 5 16 13 Sardegna 0 0 0 0 1 Sicilia 130 10 177 317 236 Toscana 0 0 0 0 1 Umbria 0 0 0 0 1 Valle d Aosta 0 0 0 0 1 Veneto 1 0 0 1 0 ITALY 187 15 235 437 345

Prevalence and incidence of herds and positive animals (regions N-OTF) 1,0% 0,9% 0,8% 0,7% 0,6% 0,5% 0,9% 0,6% 0,8% 0,8% 0,6% 0,6% 0,8% 0,9% 0,8% 0,9% 0,7% 0,8% 0,4% 0,3% 0,2% 0,1% 0,3% 0,2% 0,2% 0,3% 0,2% 0,2% 0,0% 2010 2011 2012 2013 2014 2015 prevalence incidence positive animals * In buffalo, in Campania Region, the rate of tested herds for the 2015 is 100%.

Sicily: prevalence, incidence and positive animals 4,5% 4,0% 3,8% 3,6% 4,2% 3,7% 3,5% 3,0% 3,1% 3,7% 3,1% 3,4% 2,5% 2,8% 2,7% 2,4% 2,4% 2,0% 1,5% 1,0% 0,9% 0,9% 0,7% 1,1% 0,6% 0,7% 0,5% 0,0% 2010 2011 2012 2013 2014 2015 prevalence incidence positive animals

Bovine herds tested for TB in Italy and prevalence (regions N-OTF) 98.51% prevalence coverage checks * In buffalo, in Campania Region, the rate of tested herds for the 2015 is 100%.

Bovine animals tested and Tb positive 2010-2015 (regions N-OTF) 0,22% * In buffalo, in Campania Region, the rate of tested herds for the 2015 is 100%.

TARGET of ITALY in accordance with the WORKING DOCUMENT SANCO/10181/2014 Rev2 Guidelines for the Union co-funded programmes of eradication, control of zoonoses for the years 2015-2017 TARGET IT on the territories not OF.: 0,77% % reduction compared to 2012 of at least: IT: 20 %, 0,61%. prevalence registered in Italy in the territories not OF in 2015: 0.85%. prevalence registered in Italy in the territories not OF in the Peninsula in 2015 (Sicily excluded): 0,18% prevalence registered in whole Italy in 2015: 0,36%

Corrective measaures in SICILY Application of the new Ministerial Order of the 28 may 2015 that include verification of the efficacy; A strict, follow-up; Ministerial Audit planned next week (11-14/07/2016); TBC Sanco Financial control in September; OTHER POSSIBLE MEASURES in case of no improvement: commissaryship by the Government as done in other Region; exclusion from the EU co-financed programs; exclusion from the eradication program; declaration of endemic zone; ban of animal movements out of the region; destruction of the carcasses of the positive animals without any compensation.

Perspective for the next year Continue to work to get the status of OTbF in the regions: UMBRIA, BASILICATA, VALLE D AOSTA, MARCHE and SARDEGNA. Achievement in all regions of the 100% of Controls. Follow-up about the situation in SICILY, to control the disease. Renew the Ministerial Order 28 may 2015 for other two years.

Thank for your attention Ministry of Health - ITALY