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Westminster: Environment, Food and Rural Affairs Committee
Badgers and Bovine Tuberculosis Sub-committee
(24 February 2003)
Meeting with
The Independent Scientific Group on Cattle TB, and
Mr Elliot Morley MP, Parliamentary Under-Secretary of State, Department
for Environment, Food and Rural Affairs
(Filed 28th Feb 2003)
www.land-care.org.uk
The following uncorrected evidence has been taken
from the United Kingdom Parliament website. To view the original
transcript please click
here. Land-Care will incorporate any corrections as they become
available.
Uncorrected Evidence presented by the Independent Scientific Group
on Cattle TB:
Professor John Bourne, Chairman,
Dr Rosie Woodroffe
Professor George Gettinby,
Sir David Cox
Mr Elliot Morley
MP, Parliamentary Under-Secretary of State,
Richard Cawthorne, Deputy Chief Veterinary Officer and
Ms Sue Eades, Head of Animal Disease Control Division, Department
for Environment, Food and Rural Affairs,
MPs present:
Mr David Drew, in the Chair
Ms Candy Atherton
Mr Colin Breed
Mr Michael Jack
Mr Bill Wiggin
David Taylor
Memoranda submitted by Independent Scientific Group
on Cattle TB
Examination of Witnesses
PROFESSOR JOHN BOURNE, Chairman, DR ROSIE WOODROFFE,
Member, PROFESSOR GEORGE GETTINBY, Member, and SIR DAVID COX, Member,
Independent Scientific Group on Cattle TB, examined.
Chairman
120. If I could introduce things. Welcome
again, Professor Bourne. I know that you have been around this track
not under the guise of DEFRA but certainly under the guise of the
previously conceived Agriculture Select Committee. We are fairly
short on time so we are going to move on without any pleasantries.
I am sure you have read the evidence from our previous session and
saw that there was a stark contrast in evidence, I think it is fair
to say, and I am sure we are going to find some interesting points
today. This is obviously a topic of considerable interest and concern
and anyone from the Princess Royal downwards has been commenting
on it so we cannot in any way under-estimate the importance. If
I could ask you to introduce your team, I think it would be useful
from our perspective.
(Professor Bourne) Dr Rosie Woodroffe you will
have met before, an ecologist now at the University of Davis, California;
Professor David Cox, University of Oxford; and Professor George
Gettinby, University of Strathclyde, who are both what I loosely
call statisticians. You will get the drift of their expertise as
we go through the discussions.
121. Obviously the nature of things is that
you bring team members in when you think it is appropriate for them
to answer. I am sure everybody will get the chance to make their
point of view known. If I could lead in, looking at the current
debate and the agreed position that there has been a significant
rise in the level of bovine TB and also how DEFRA have responded
to that, what is your view, firstly, on the figures? Is there a
dramatic increase or is this just a backwash as a result of the
non-testing during the foot and mouth period? How do you think DEFRA
have responded in terms of the autumn package?
(Professor Bourne) Sir David at the outset estimated
the likely increased incidence based on a number of criteria and
the estimate that Sir David made was - and he can respond to this
in a moment if he wishes- that there would be about a one and a
half to two times increase initially with the resumption of testing
following foot and mouth disease which would fall to about a 20
per cent increase over a 12 or 18-month period. We are not quite
there yet but there does not seem to be much deviation from the
prediction that he made in March/April 2002. So I suppose that is
the first comment I would make. The second comment is that there
has been an increase in the number of multiple breakdowns. You could
of course ascribe that to increased badger activity, you could ascribe
that to amplification within cattle herds. It is difficult to be
totally prescriptive about which is contributing the most, but I
would suggest that we bend more towards amplification within cattle
herds and wildlife introduction of disease into these herds.
122. What about the Government's response
in terms of the package?
(Professor Bourne) They had a problem on their
hands, of course, in getting the testing underway, and catching
up with the backlog. They are still catching up with the backlog
and that in turn has had an impact on the field trial. We can better
explain this when we talk about the active culling.
123. Were you consulted on the Government's
autumn package? Was that part of the process of putting that package
together?
(Professor Bourne) Not strictly, no, in that obviously
we have on-going discussions with government but the autumn package
was presented to me and I had something like 24 or 36 hours' notice
to respond to that package. I was unable to get this to the group
for their response so any response was entirely my own within a
very short time-frame which, as I pointed out at the time to DEFRA,
made it impossible for us to give a proper response. Nonetheless,
the three objectives - namely to change policy on the basis of a
threatened spread of the disease from cattle to cattle transfer
has been encompassed within the policy initiative; there has been
a move to make it easier for farmers to live with TB, and I think
we would all applaud that without, one hopes, any potential for
increasing the risk of spread of TB; and the third component of
the autumn package, namely the gamma interferon trial, is something
we need to discuss with you because we are concerned about that.
124. I picked that up from your letter and
I think we need to move on to that in the future. Before I bring
Bill Wiggin in, can I just check whether you were actually looking
at the impact of cattle spread of bovine TB in terms of any changes
in movement controls?
(Professor Bourne) We were concerned and have
been concerned for some time about the spread of TB outside the
trial hot spots, as indeed we are concerned about what is going
on in hot spots, and to better inform the debate on what to do outside
trial areas we instigated a number of initiatives. One is that we
looked at data from what one might call the new hot spots in Staffordshire
and Shropshire and under our direction we got this data analysed
by epidemiological groups from the University of Warwick and the
University of Cambridge, Dr Lawler (?) agreeing with the analysis
of this data. We did so because we wanted to get some feel if we
could for what we recognise is inadequate data and data which at
the outset was not collected for epidemiological study but nonetheless
might throw up some useful information. The finding of that hot
spot analysis was that they were unlikely to have developed from
wildlife transmission alone. There was almost certainly a cattle
component. We could not dismiss wildlife but there was this cattle
component which suggested cattle to cattle transmission was having
an influence. We also looked and analysed data on the inconclusive
reactors. We also revisited old data from previous BROs to see if
this would shed any light on the potential for culling in a localised
situation outside trial areas. We found we could not add to what
Krebs had said that there was no evidence that localised culling
had any impact on cattle TB incidence, and we also drew up proposals
for a gamma interferon field trial. So we were very concerned about
what was going on outside trial areas and we spent a lot of time
going through various initiatives, we reported back on that in the
Strategic Forum in October and we developed this timetable in conjunction
with DEFRA, and the development of this would go back probably 12
or 15 months prior to October.
Mr Wiggin
125. I am not sure I understand correctly.
Did you just say that the Government did not consult with you properly
on their autumn package and yet they are waiting for you to give
them a definitive steer on what to do about this disease? Is that
right?
(Professor Bourne) I saw the autumn package proposals
in August 24 or 36 hours before it was sent on to ministers. We
have had minimum opportunity of responding to it since. We were
given an opportunity to make some comment and this was in --- I
forget the details but effectively the group were not given any
opportunity and I was given a very foreshortened opportunity.
(Dr Woodroffe) I simply wanted to add to what
Professor Bourne was saying apropos your question about cattle movements
to say that the TB99 study also is potentially studying impact of
cattle movement.
(Professor Bourne) David, do you wish to comment?
(Sir David Cox) No, thank you.
Chairman
126. To wrap this all up with a final question
which is, if you like, the one that the NFU highlighted last week
in that we are going to talk about pre-testing but also the extent
to which movement restrictions whether in place or, as I say, now
having been relaxed should be a crucial part of this study that
you are undertaking.
(Professor Bourne) It is interesting for us to
look back and indicate to you what we believe we have achieved over
the last five years as ISG. Certainly when we entered this debate
there was a large amount of dogma that indicated that cattle-to-cattle
transmission was not an issue, it was primarily a wildlife problem
that we were dealing with, and that a cattle-to-cattle problem was
not an issue because it was dealt with very effectively in cattle
by the use of tuberculin testing. We questioned that, we supported
it with scientific data subsequently, and the result is there has
been a complete culture change in attitudes toward TB and the way
one thinks about it and that culture change is now entering into
new policies. We have indicated that there has to be a degree of
cattle-to-cattle transmission. We are dealing with an infectious
disease of a number of species. Infectious diseases move around.
Cattle-to-cattle is a reality. We recognise from experimental work
that this can occur in the very early stages of infection and is
not restricted to the well-developed late clinical case of which
we see very few. We recognise that the early transmitter cannot
necessarily be picked up by the tuberculin test. We have also highlighted
problems with the tuberculin test which have been experienced in
other countries, not just in the United Kingdom where in Ireland
it has been reported to have a sensitivity as low as 65 per cent
and in Australia it can be as low as 62 or 65 per cent. So we have
a problem there that is now recognised. I think what DEFRA have
done with the autumn package is eminently sensible in focusing on
cattle movement and cattle transmission. Given that we have no adequate
data yet to advise on the wildlife component and what we do about
it, and while we fully support the gamma interferon tests (we highlighted
this almost from day one and we took it in fact to the TB forum
in October 1988 as a potential for use in the field) we are concerned
that the gamma interferon test has been applied without any scientific
rigour. We have worked extremely hard to get scientific rigour into
that field trial with thus far no effect.
127. So are you in any way engaged with the
work that is going on with the gamma interferon test or are you
basically just letting DEFRA push that in its own direction?
(Professor Bourne) We are engaged very forcibly
but what we are engaged in doing is to persuade DEFRA of the common
sense of our approach and to hope that they will apply that in practice.
Mr Jack
128. Were you in any way surprised at the
fact that bovine TB started to break out outside the hot spot areas?
(Professor Bourne) No.
129. Why?
(Professor Bourne) It was quite clear that cattle
movements were going to take place in new areas, referring here
to areas particularly in northern England where indeed there had
been outbreaks but no history of the development of hot spots or
large number of outbreaks, and one would anticipate that cattle
movement could lead to these outbreaks developing. I am more concerned
about the development of new hot spots at the moment outside of
the traditional hot spots than what is going on within the hot spots.
That would be my major concern and I discussed this with the CVO
in March when I indicated to him what our concerns were and the
way you were going to prevent the development of these hot spots
was to really throw everything you had at eliminating the disease
from these areas, which would involve increased rigour with tuberculin
testing, which of course has been done. I believe one could go further
than this by considering the use of gamma interferon testing in
these breakdown herds but I do think also that more pre-emptive
thought should have been given to this likelihood of breakdowns
occurring which was absolutely predictable.
130. Given that you have made a number of
predictions over the years you have been involved in this area of
study and you indicated that you had discussions with DEFRA and
yet DEFRA gave you three weeks to comment on their latest proposals,
do you think they take you seriously?
(Professor Bourne) I would hope so. I think they
do. I certainly think they do but I do think the CVO in particular
has one tremendous job on his hands getting to grips with the whole
of the animal health problem. They are undoubtedly restricted by
cash availability for support for the SVS, which I see as a really
serious issue, and every time we discuss the TB work with the Minister
we express our concern about the resource available for the SVS
and the pressures that they are put under. In general, as I say,
I would hope they take us seriously but I must say there are one
or two other areas where we do have concern about the rigour with
which they respond to the things that we ask them to do. Some of
this will become clear as our discussions proceed.
Ms Atherton
131. Ten years ago in my previous life as
a journalist I used to visit farms where farmers had completely
lost all of their stock and all of them said that they saw the ultimate
answer possibly as being vaccination and that it would take ten
years. I see from my cuttings ten years down we seem to be no further
and people still seem to be talking about ten years. What is happening
in this country and particularly what is happening overseas? Can
you describe some of the work and is that providing some enlightenment
and some hope?
(Professor Bourne) We are near to completing a
Vaccine Scoping Study where we have looked at the issue in some
depth and we would expect to report to Ministers probably before
the end of March or a little after that. The bottom line is we believe
there is no potential vaccine that could be considered for use in
cattle at the moment.
132. None in cattle?
(Professor Bourne) None in cattle. There is no
vaccine that shows any improvement upon the vaccine that has been
used in the human field for many decades, BCG. The use of BCG even
in the human field where it has been used in field trials has resulted
in zero protection to 70/75 or 80 per cent protection. Experimental
use of that vaccine in cattle has shown protection again of about
60 or 70 per cent. Field trials on the very small scale around individual
farms over the past several decades have indicated it can be protective
and effective. For large-scale field trials no effect has been shown
but, not withstanding that data, we still believe BCG for other
reasons cannot be considered for use in cattle at the moment. The
question is can BCG be used in the shorter time-frame to protect
wildlife and there is a possibility of that. Trials are taking place
at the moment in Southern Ireland in conjunction with scientists
from this country supported by DEFRA looking at the protective effect
of BCG on captive badgers, badgers taken from the field and retained
in captive facilities within Southern Ireland. That work is destined
to end in about two years' time by which time we will have an indication
of the likely protective effect of BCG. It will be most surprising
if you do not show an effect. The question is what is the next step
in developing a vaccine in the field, and it is taking it into the
field but done in a scientific way so it shows clearly that the
vaccine is having an effect not just on badger TB but on cattle
TB breakdowns. That is the target and the many steps one has to
take in getting to the point where you can show this has been impact
on cattle TB will be very long, quite complicated scientifically,
and quite costly.
133. You mention cost -
(Professor Bourne) --- If I could just finish.
So with respect to cattle TB, I do not know whether one is looking
for an improved vaccine in two years, five years or ten years, whatever.
That is just to find an improved vaccine candidate. Having found
that candidate, it is then a long haul to develop proof principle
in taking it into the field, so we are talking I believe about the
long medium to the long term cattle vaccine in reality. Whether
one can get to a wildlife vaccine using BCG, even if one could,
that is a medium-term timescale that you are looking at. There is
no quick fix on this, which persuades us there have to be other
control measures in the interim, which could extend from badger
culling, on the one hand, to increased biosecurity around cattle
which will include diagnosis on the other, and at the other extreme
biosecurity including improved security without any wildlife involvement.
I am afraid that is the reality of the position and that is what
we are working hard to get scientific answers on to advise government
on future policy options as quickly as we can.
134. You have answered most of the follow-up
questions I was going to ask but do you think that this long to
medium-term programme would be reduced with a further injection
of funding into the private sector?
(Professor Bourne) No, I do not. Certainly not
the private sector. I saw the comments from the NFU about private
sector interest in this and they could get a vaccine in the field
in two years. Frankly, that is wrong.
Chairman
135. Is it Dr Kalasko (?) who says he has
got a vaccine ready to use?
(Professor Bourne) It was the Kalasko vaccine
that was used in Malaya (?) trials in the field some years ago and
it would be interesting for you to look in the Vaccine Scoping Report
we intend to publish and look at Appendix 4. You will see reference
to that particular trial that was carried out and you will not be
particularly enthused by that.
Mr Wiggin
136. You said BCG was approximately 60 per
cent effective on cattle
(Professor Bourne) 60 to 70.
137. Do you not think if we could use that
vaccine, bearing in mind that cattle are very traceable, a fall
by 60 per cent in the number of cases of TB would be a tremendous
step in the right direction?
(Professor Bourne) Yes, but you have to qualify
what you mean by protection. These animals are not sterilely protected.
They still develop pathological lesions which although certainly
will be reduced, they are still culture positive, so there is potential
there for them still to transmit.
138. Surely that will fall?
(Professor Bourne) --- Excuse me, the problem
arises that BCG itself interferes with the diagnostic test. The
vaccine could be engineered to ensure that it did not confuse the
diagnostic test. You can change the diagnostic test/epidemiology
test but you are still left with the problem of having a wildlife
reservoir and if wildlife stimulated a vaccinated protected animal
it would respond immunologically and on the basis of current control
strategies would be killed. So one would have to change one's control
strategies, which I understand is no easy thing to do, and put in
place other strategies and then one could have a problem with the
vaccine being relatively ineffective of having a larger number of
slaughter house casualties which would be eliminated from the food
chain. We are told that EU measures are being taken to make those
slaughter house condemnations far more rigid, which puts even greater
pressure on a vaccine. These are real problems that would have been
to be faced. It is no simplistic thing to think about applying a
60 or 70 per cent vaccine. Those are the very issues that we have
laid out in the Vaccine Scoping Study to avoid the idea that there
is a quick fix here and we can be rather flippant about how we are
using these vaccines. The fact is you cannot.
(Dr Woodroffe) Could I just come back to Ms Atherton's
question about timescale and cost just to point out this is not
just a question on the badger vaccination side of technology and
getting a good vaccine. As Professor Bourne has highlighted, we
are still not in a position of being confident of what proportion
of TB cases in cattle are originating in badgers, so even if we
could find a protective vaccine for badgers we have got no information
to know how that would lead to a reduction in risks to cattle. The
culling trial will give us some sort of ball-park idea at worst
of what proportion of TB cases in cattle are associated with badgers,
at least a minimum. And I think at this point we do not know where
that ball-park is so we are in the position of feeling quite strongly
that at this point we would not be able to recommend, or at least
I personally would not be able to recommend putting a great deal
of hope in badger vaccination as a way of protecting cattle until
we have got more information on the epidemiology of TB in badgers
and the risk to cattle posed by badgers, both of which are going
to come from the culling trial.
Mr Breed
139. The other side of the coin is cattle
husbandry. Are you satisfied with the Government's approach to any
research which is currently being undertaken into husbandry issues?
What concerns, if any, do you have in respect of the general biosecurity
message which is now being taken on board by farmers and the fact
that might mask or ignore TB-specific biosecurity measures?
(Professor Bourne) There are many facets to that
question. If I could perhaps address the last point first. There
is general advice on biosecurity that farmers can take with respect
to any infectious disease and this is being pulled together extremely
well by the BCVA through the TB Forum and, as far as I know, that
advice is being disseminated to farmers. There is some advice based
upon anecdotal evidence certainly, perception, with some scientific
basis for how one deals with the badger threat. This relates, as
you know, it was discussed with you before, to the height of water
troughs and all this sort of thing. I would have thought DEFRA have
made sure that farmers are well aware of that advice. I think there
is a dual responsibility here. DEFRA have a responsibility here,
which I think in this respect they have met, and farmers have a
responsibility to do what they can, and I have reason to believe
that some farmers do and some do not. With respect to the research
on husbandry, the main thrust of course from our perspective is
through the TB99 Epidemiological Survey. As I indicated in my note
to you, that has caused us problems and here I think one must question
whether we have been taken seriously enough by DEFRA to ensure there
has been adequate data compilation and collection. The figures I
have presented with you for TB99, for instance, indicate that within
trial areas, let's just focus on trial areas, there have been 838
breakdowns (that is the last complete set of data we have) for which
we only have 103 complete data sets that we could subject to analysis.
That is a very small capture rate. The 103 certainly will increase
because we have now discussed with DEFRA and the SVS how one can
target resource to increase the number of data sets available to
us and we will expect that by April the number of data sets could
be over 200, but there is still a large shortfall in data that could
have been collected for us to analyse. We are only able now to carry
out our preliminary analysis. You will recall for our early reports
that it was on the basis of preliminary analysis that we would feel
our way forward, as to whether we would wish to modify our TB99
questionnaire or not. What we do urge and shall continue to urge
DEFRA is t they ensure that adequate resource is directed to the
collection of TB99 data over the next 12 months, hen we anticipate
something like 400-plus breakdowns in trial areas, to give us some
more substantial amount of data that we can then analyse in the
year 2004. Do you wish to respond to that, George?
(Professor Gettinby) If we got a normal year
this year,2003,we would expect this to increase substantially. As
Professor Bourne has said, we have about 840 TB herd breakdown cases
of which we have 569 TB99 forms completed. The constraint is that
each of those should have three controls. The number with at least
one control is 103, so we are not getting the control information
in to make the comparisons between the cases and the controls and
this epidemiological analysis would contribute to possible animal
husbandry events which might identify an increased risk in TB99.
However, we are this month at the 40 per cent stage of the five-year
culling trial and if everything went on course for each of the next
three years, we would increase at 20 per cent for each of the years,
so we are at the 40 per cent mark and moving on, so we could have
a very good year this year if there were no other constraints on
DEFRA collecting the TB99 data and in particular getting in the
control data.
140. You know that these TB99 forms are considered
to be rather time-consuming for farmers and vets. Would you propose,
as has been suggested by some, a shorter version so you could increase
the number of forms that you get back?
(Professor Gettinby) W have given a lot of thought
to this. The reality is that collection which involves the farmer
usually takes approximately two hours, two and a half hours at the
most. A great deal more work has to be done once the veterinary
officer takes it back and does completion at the desk stage. We
do not think it has been too demanding at the farm level but the
intent is if we could get sufficient TB99 with their controls we
could do this interim analysis with a view to cutting down on the
TB99 form completion in future years. So we are conscious of that
but we have not been able to do that because we have not been able
to get sufficient TB99 completions.
141. So you have not been able to draw any
broad conclusions as yet from analysis of the TB99s you have actually
collected?
(Professor Gettinby) The interim analysis for
TB99 is scheduled over the next two or three months and we would
expect by mid-summer to be able to draw some inferences from the
TB99.
(Professor Bourne) There is no doubt that the
SVS were faced with a considerable problem post-FMD. We are now
seeing a response from DEFRA in that they are contracting outside
help to support SVS in getting the TB99 data collected and compiled,
but the problems that we identify which we did identify previously
precede FMD, so it has been an on-going problem but now we do see
some light at the end of the tunnel with this. It is important that
we get total co-operation in getting this done and enough resource
to get all of the breakdowns covered for the next 12 months in trial
areas.
Chairman
142. Can I be clear for the record, what other
species beside badgers are part of the road traffic accident survey?
(Professor Bourne) No other species.
143. Is that by choice?
(Professor Bourne) Yes, it is. The whole purpose
of the road traffic accident survey was that it was the only way
we had an opportunity of determining prevalence of TB in badgers
outside the trial areas short of actually killing badgers and doing
full PM as we do within trial areas. We do not know if the RTAS
will be a useful indicator of prevalence. That is why we restricted
it initially to the seven counties, the areas where the hot spots
were so that we could get some data to validate the technique. You
know the history of the RTA, and up to June last year although our
target was 1,200 badgers a year in the first instance to give us
an analysable data, again to feel our way forward, this is the way
science develops, we only had 200-plus badgers up to June last year.
Since then it has been contracted out to another group, it looks
as though we will be on target from last June to this June to reach
the 1,200 figure for the first time, but even then we do not expect
any useful analysable data for another year after that.
Mr Breed
144. But will such data be available to use
alongside Krebs' trial results?
(Professor Bourne) That was the point of doing
it in the area where the Krebs trials were so that we could get
some idea of validation.
145. So you think there will be sufficient
numbers?
(Professor Bourne) We do not know. We have not
been able to subject this to even preliminary analysis nor will
we until we get the first 1,200 figure. We can then decide whether
that target is high enough or not and we then move on from there.
146. To go back to the husbandry again, you
will be aware that there are all sorts of suggestions coming in
from one farmer in particular and I know others have suggested that
the way in which the new designs for farm buildings affect the air
quality and things like that. Has there been any research done into
the new way in which cattle are housed as part of research in husbandry?
(Professor Bourne) No, not as part of the TB programme.
I am sure this work is going on elsewhere but not as part of the
TB research programme. We are aware that it is important to understand
the root of transmission between cattle, is it nose-to-nose or is
it across airspace. In the pathogenesis programme which we have
advised DEFRA to put in place, and is in place, it is looking at
attempting to answer those very simplistic questions which you would
expect we would have answers to but we do not. That work is planned
as part of the pathogenesis programme.
147. Before we finish that, has there been
any work commissioned to assess any links between deficiencies of
trace elements and susceptibility of cattle to bovine TB?
(Professor Bourne) No.
148. Presumably you do not believe there is
any value in that. Finally, is there any husbandry-related research
work which you would like DEFRA to fund as part of your remit?
(Professor Bourne) The question of trace element
and the influence of that on disease status of cattle or badger
is extremely difficult work to undertake. As far as I am aware,
there are no facilities for doing that work in the United Kingdom
in cattle. We certainly would be unable to do that work in badgers
in the United Kingdom. There are far more important things for us
to understand with respect to the epidemiology of the disease in
both badgers and cattle and I would put trace evidence research
very low on my list. It probably would not appear.
149. Is there any other research you think
DEFRA should be funding in this area?
(Professor Bourne) No, I think in general the
response of DEFRA to proposals has been adequate and I have no complaints
about that. Most of the research we have advocated has been funded.
We do have problems, as you know, with gamma interferon. We did
propose a research programme on the breakdowns outside hot spots
last year which DEFRA said they could not fund but, in fact, that
has been overtaken by the study that is now in place on post-FMD
breakdown restock farms which should provide interesting data. Of
course, we could not have done that without FMD so it did provide
a golden opportunity to do that.
Chairman
150. Were you integral to the way in which that
research was set up?
(Professor Bourne) Many of the research projects
that have been set up are based on concept notes written by the
ISG and this was no exception in that respect. We wrote the concept
note and that was then discussed with a number of scientific groups
who were encouraged to put in built up proposals to this and this
was subsequently funded by DEFRA so, yes, we were.
Mr Jack
151. As somebody who is an interested observer
but not an expert in this field, do you know of any other cattle
diseases where the timescale to investigate and evaluate data has
been quite as long?
(Professor Bourne) BSE.
152. Does it match in terms of timescale the
work that you are doing? I know that is continuing work but there
does seem to be an imperative now that has been lacking.
(Professor Bourne) Yes, but I think you have to
remember that although bovine TB has been a problem for decades,
there was no forceful work done on understanding the pathogenesis
of the disease in cattle until we put a programme in place in 1999.
The fieldwork was directed to culling badgers and the way it was
done (in an unstructured, non-scientific way) did not allow one
to gain scientific evidence to take the next steps. It is worth
dwelling on that for a moment because what we have done within the
trial is pursue the badger culling policy as part of the trial but
it is being done in a way that will provide sound scientific evidence
to take those next steps. It is interesting to reflect that when
the badger removal operation was in place 1,000 badgers a year on
average were killed. We have averaged 1,000 badgers a year so far
in the culling trial but last year we killed 2,500. That is in ten
trial areas in hot spots of TB. You would expect that to be having
an effect on local incidence of TB, if it is going to have an effect,
and national figures. Time will tell just what influence it has.
But to suggest DEFRA have let the thing slide over the last five
years by fiddling while Rome burns I think is quite wrong. There
has been a trial done in a way which does provide scientific data
for next steps. There has been a move now to do something about
controlling cattle to cattle movement and cattle to cattle transmission
which you can see in their new policies, but these are the very
arguments that we bring back to gamma interferon. That trial should
be organised and scientifically designed not to answer one question
which takes you nowhere but to provide information which allows
us to take a subsequent few steps forward. That is the way science
goes. It can be integrated into part of the policy approach in the
way that the culling of badgers has been integrated, in our view,
into a policy approach.
Mr Wiggin: Do you want to say a bit more about
gamma interferon?
Chairman
153. We want to go on to look at the culling
side and progress on that.
(Professor Bourne) I have embodied everything
I want to say in what I have just said. We recognised from very
early stages that we needed an improved diagnostic test to either
complement or replace the tuberculin test. The tuberculin test has
its faults as indeed does the gamma interferon test. We need to
have information to give us a relative comparison of how they operate
in the field. You can get some idea from work done overseas, but
it has to be done in our own environment. There is an opportunity
with the field trial, by including controls, to get a comparative
assessment of the effectiveness of tuberculin compared to gamma
interferon. There is other work which one can do to complement that,
whole herd smaller studies, again based upon concept notes that
we have written, but these two projects are complementary. DEFRA
appreciated that we were developing protocols for the gamma interferon
tests. They chose to develop their own protocols without informing
us that they were doing so and they took their protocols into the
field without giving us the opportunity of discussing their protocols
with them or indeed our criticisms of their protocols. You asked
earlier whether we were taken seriously by DEFRA. I do believe that
Ministers have taken us extremely seriously and but for Mr Morley
we would not now be discussing our protocols with DEFRA with a view
to changing the scientific design of the interferon trials. I return
to what I said about badger culling. We believe we need to put a
scientific pilot trial in place to give us information to build
on the next steps. When comparing the gamma interferon proposals
that we made with the DEFRA proposals, the increasing cost relates
to collecting blood and carrying out gamma interferon testing and
asking the SVS to do a more diligent post mortem examination of
animals that are killed. There will not be any more animals killed
or very a few animals killed in the approach we have taken. We have
suggested we work with 150 herds in the first instance, not the
600 that DEFRA are targeting. We do accept there is a legal problem
in that we are getting results from gamma interferon tests but not
using those results to take conceivably infected animals from the
national herd. If you cannot overcome that barrier there is no way
forward and we are just not going to get this data. We believe it
is critical that we do. The concern we have is indicated by the
efforts we have made to get our case across to DEFRA and DEFRA Ministers
and we will continue to do so.
Chairman: We must finish on the trials.
Mr Wiggin
154. One of the problems we are worried about
is that the trials will not be conclusive. I wonder if you are going
to provide Ministers with an interim piece of advice and to what
extent will any interim piece of advice allow policy to be formulated?
(Professor Bourne) DEFRA interim advice probably
will not do that but, yes, we are committed to presenting interim
advice to Ministers in the next two month time-frame on vaccine
scoping, progress of the trial, TB99 and reactive strategy. TB99
we have discussed, reactive strategy we can embrace in comments
now. We estimated 12 months ago that foot and mouth disease would
not have a serious impact on the trial. In fact, it did give us
opportunities to carry out work on restock farms which we have already
discussed. There was certainly a loss of trial years, and you will
recall from our Second Annual Report that the statistical power
of the trial was based on triplet year badger figures in respect
of the proactive cull. The efforts of the Wildlife Unit have regained
lost ground so by the end of 2005 we would have met the fifth triplet
year target which was our pre-FMD target in our Second Annual Report.
Thus with respect to the proactive trial, the situation is fairly
healthy. Just one proviso in that two of those proactive trials
were delayed because of the impact of FMD, so there is a possibility
that the data in those two proactive areas will be less vigorous
because of badger migration. The evidence suggests to us that has
not been a serious issue so with proactives we are looking, we believe,
at a termination date of the end of 2005, possibly extending into
2006 by three to four months.
155. That is a fairly long time.
(Professor Bourne) It is what was predicted from
the outset and we have not moved away from that. With reactive it
is very different in that what triggers a reactive cull is a breakdown.
With no testing in seven trial areas in 2001- 2002 it does result
in seven lost triplet years. That has been further eroded by the
backlog in reactive response experienced by the Wildlife Unit and
whilst one would hope there will be a recovery in the next year,
I anticipate there will be a further backlog at the end of this
year. That is brought about by a number of reasons, firstly, the
serious backlog in testing and the hump of breakdowns that one has
to deal with. The difficulty of the Wildlife Unit forward planning
the work programme in a reactive strategy at best is further compromised
by the hump. It is also compromised by the time delay between the
breakdown of incidence and the reporting of those to the Wildlife
Unit. We have considered all these issues with DEFRA and we will
report to the Minister on that in the next couple of months with
optimism that the reactive culling will be back on track by the
end of the next year but there will inevitably be some extension
beyond 2005 before we can reach the 50 triplet years with reactive,
but of course we are totally dependent on the strength of the data.
One thing that helps us is the increased number of breakdowns which
we are experiencing in trial areas which increases the statistical
power for analysis. Do you wish to comment on that further, David?
(Sir David Cox) No, I do not think so. I think
you have summarised all the key points.
156. Just briefly then, we have not got much
hope on the vaccination front, we have not got much hope from your
report coming out in March that the Government will be able to formulate
policy on this; have we got any hope to look forward to at all or
is it going to turn out that Princess Anne was right?
(Professor Bourne) Princess Anne is right but
what Princess Anne did not answer is the question, okay, badgers
are involved, but what the hell do you do about it? We do not know.
That is the whole point of the trial. I repeat, if one looks back
five years and sees where we have come from, there has been a complete
culture change in the intellectual approach to TB with respect to
recognition that something needs to be done about diagnostic testing
and recognition that cattle movement is a reality. We still do not
know what proportion of the disease is caused by cattle transfer
and what proportion is caused by wildlife. We do not know that and
it will be some time before we get answers. The policy has been
developing based upon those hypotheses nonetheless. I return to
the statement that we are culling badgers and if that is going to
have an impact one would expect to see an impact, given we are working
in hot spot areas, on national incidence of disease if it is going
to be effective at all.
David Taylor
157. Professor Bourne, you referred a moment
or two ago to your Second Report and in Appendix A of that report
you resisted a call for reactive trapping of badgers and the killing
of badgers outside the trial treatment areas, did you not? Do you
think that advice should be changed in the light of the explosion
of TB incidence that we have seen taking place over recent months?
The NFU in their evidence to us were certainly pressing that that
was in early need of overhaul.
(Professor Bourne) I can understand the frustration
of the NFU and I have discussions with the NFU on a fairly regular
basis but our position remains exactly the same. We have looked
at past badger removal operation data and we could not move any
further forward than Krebs on localised badger removal, that there
was no evidence it had any impact on cattle TB. The whole point
of the trial is to answer that question. Until we have the data
from the trial to allow us to answer that question, we cannot move
from our position and assume that culling badgers is going to have
an impact. Scientifically we just cannot do that. I would go further
and say there is no evidence it has an impact, there is no evidence
it does not have an impact; there is a suggestion that it could
make it worse. So, no, our position is unchanged. Rosie, would you
like to answer, being on Krebs?
(Dr Woodroffe) I think I would simply concur.
I was on the Krebs Committee but I would concur with everything
you said.
(Professor Bourne) I would add one point. I believe
there was virtual elimination of badgers from the Thornby area in
the1970s and early 1980s. Krebs' conclusion from that was that provided
compelling evidence for the involvement of badgers in cattle TB.
I think in retrospect, given the evidence we have from Australia
where they eliminated water buffalo, and evidence that I think is
likely to come from Southern Ireland, that elimination of badgers
would have an impact on cattle TB but the question is does anything
short of elimination have an impact on cattle TB, and that is precisely
what we are investigating in the trial. If I could just make one
other comment. Australia controlled their TB by eliminating water
buffalo. That is not all they did, they put in very strict, draconian
biosecurity movement laws and they also used gamma interferon tests
to augment the tuberculin tests. They were draconian in biosecurity
in a way that we are not in this country.
Chairman
158. As somebody who has read the Thornby evidence
one of the sad things about it was there was no scientific rationale
ever carried out. The danger of that is it is anecdotal evidence
rather than purely science. I am sure you would agree with that.
(Professor Bourne) I think an even bigger problem
was there was no scientific design to the badger removal operations,
and that is what we have attempted to put right in the trial.
(Dr Woodroffe) I simply wanted to add to that
that whilst we are very interested in results coming from Southern
Ireland I should add that that trial is basically comparing culling
virtually all of the badgers with culling quite a lot of them and
there are no culling experimental controls associated with that
experimental design, unlike ours.
(Professor Bourne) May I make a final comment.
I do not think it is generally appreciated the steps that we have
achieved with DEFRA in the last 5 years to put in place a substantive
research programme to address these very serious real problems.
We have achieved a lot in the last 5 years and we are confident
we will find answers to help ministers tackle this issue. We also
stated from the outset that any approach will be multi-factorial,
there is no magic bullet here, there is no golden bullet. It has
to be a multi-factorial approach. Inevitably these approaches do
take time to unwind.
159. Those final words are a very good point
to finish on. Thank you for the evidence. You have left us with
a few problems in terms of the report we have to compile. I had
better pass on quickly and get the minister in now.
(Professor Bourne) We are quite happy to help
you write it.
Chairman: One thing you can never offer to a
select committee is to help them write a report. Thank you.
Chairman
160. Apologies for keeping you waiting. This
is a fascinating topic and we could have spent another 2 hours with
the ISG. There were a few issues that came through as a result of
that. Would you like to start by introducing your team?
(Mr Morley) It is a pleasure. On my left is Richard
Cawthorne, our Deputy Chief Veterinary Officer, who is very experienced
in this particular area. On my right is Sue Eades from our division
that deals with this particular problem.
161. We had, as I say, a fascinating session
with the ISG. To put it bluntly, they feel that what they are doing
is very good and needs to be given its correct importance and also
time so that the results can be properly compiled. They were quite
critical of DEFRA in two areas, one the gamma interferon test, where
they feel you have somewhat rail-roaded them in terms of the lack
of science and the way in which that has been produced. Secondly,
there remains some issues about resources and the degree to which
although they accept you cannot throw resources at this, because
that will necessarily bring forward some of the answers, there are
some resource issues. Do you want to take those two issues on?
(Mr Morley) Certainly. Can I first say I very
much welcome the opportunity to update the Committee with where
we are with the whole issue of the Krebs trial and also our strategies
for dealing with bovine TB. This is one of our biggest issues that
we are facing at the present time in relation to animal health matters.
We are devoting a lot of resources to this. We have found additional
funding, particularly in relation to the backlog of testing. It
is fair to say that the whole programme was seriously derailed as
a result of FMD, when we had to shift our staff and our resources
to the priority of fighting foot and mouth disease. That left us
with a back log to deal with, which I am glad to say we have made
very good progress on, it is down to about 6,500 test cases at the
present time. In relation to the suggestions from the ISG - I would
also like to put on record that I have a great deal of respect and
every confidence in Professor Bourne and his team, they are a very
important element in relation to the whole issue of finding the
most workable solution for the problem of bovine TB - of course
the gamma interferon test, which we are committed to and which we
are implementing in relation to the pilot areas, the proposals from
the ISG are very resource intensive. It also raises one or two ethical
issues, such as suggestions in relation to testing for cattle and
whether they should be reported or not, that we do need to address.
The final proposals, as I understand it, from the ISG in relation
to the gamma interferon test did not come through until the week
before last. It is not as if we have been sitting on this for a
long time, it was only very recently that their final suggestions
in relation to the detail have been put to us, and we are considering
that. As you will appreciate in relation to trying to get the best
results in this trial the ISG have given us very, very sophisticated
suggestions in relation to how it should be assessed. It may be
that we can find similar evaluation without such a resource intensive
way or a more cost-effective way. I do not think it unreasonable
that we examine that. In the end the ISG proposals may be the best
way forward, we do not rule those out. I do not want to get away
from the fact that it is quite resource intensive in relation to
what we have to do and would make demands upon our resources, which
we have already committed in such things as reducing the backlog,
for example. There is a resource issue for us to consider. That
deals with the gamma interferon.
162. The second point is the resource issue.
(Mr Morley) I have put my finger on that. The
SVS is a finite resource, even LVIs are a finite resource, it is
not even a question of saying we could devote more resources and
bring in more LVIs because there is a limit to the number of veterinary
resources available. Our SVS are committed to a whole range of very
important activities, which I am sure you as a Committee recognise
are important, and we cannot, for example, devote one hundred per
cent of our whole SVS simply on the issue of bovine TB. A balance
has to be struck in relation to getting the effective results from
properly scrutinised and effective scientific analysis of such things,
like the new tests, and the available resources that we have and
the demands made upon the Department.
163. Can you give us a feel for how many extra
vets have been employed in terms of trying to deal with the backlog?
(Mr Morley) Most of those vets for dealing with
the backlog would be LVIs from the private sector.
164. Do you want to write to us about that?
(Mr Morley) We did commit an additional £3
million, as you will be aware, and a lot of that was to pay for
bringing in LVIs to try and address it.
(Ms Eades) A lot of the additional £3 million
was spent on additional administrative resource in the Animal Health
Office. The difficulty with LVIs is there is a limit on the number
of practitioners that we use as LVIs who are experienced in large
animal work and capable of carrying out TB testing in the field.
Increasing the LVI resource is not a short-term measure at all.
(Mr Morley) I should have made it clear, one of
the problems that we have, and it is back to the point I was making,
is there is a limited pool of experienced vets. There has been a
decline in large animal practice in the private sector. There is
a real shortage of vets which has caused problems in relation to
testing the programme. One of the ways that we want to combat this
in relation to the submission that you have seen is to have trained
technicians to specialise in testing, we would like to see them
specialise in a range of tests, but this is an important one in
relation to bovine TB. That is something that we are discussing
with the RCVS. That may be an issue you will want to raise later
on.
Mr Breed
165. At the NFU AGM the Secretary of State announced
the Government was going to undertake a review of the TB strategy.
(Mr Morley) That is right.
166. What were the objectives of the review that
was going to take place and how far has it gone?
(Mr Morley) It is normal that any strategy is
periodically reviewed to look at exactly what the work is and to
look at the kind of results that we are getting from it and to look
at whether or not there are other areas that we ought to be considering
in relation to any kind of strategy. Although this specifically
focused on the issue of bovine TB, which is a very big issue for
us, I do have to make it very clear that some of the claims that
is it spiralling out of control, the spread is enormous and there
is a huge upturn are really very premature because we do not know
the increase in the spread until we have had proper evaluation by
statisticians, and that will not be done until sometime in the summer
when we are able to analyse the 2002 results. I think for people
to claim there has been a sudden and sharp increase is not necessarily
correct. I wanted to make that particular point. I should also say
that, as you will be aware, we recently launched our Animal Health
and Welfare Strategy and that looks at the whole issue of animal
health and welfare right across the livestock industry. There are
elements within any review of the Bovine TB strategy that will fall
within that, biosecurity for example, animal movements, a whole
range of issues which would be complimentary. There is obviously
a major review on the whole approach.
167. Was the review of the strategy one that
you were going to undertake anyway or was it prompted by an increase
in the incidents of FMD? Why was this review undertaken now?
(Mr Morley) It is not unreasonable that periodically
there is a review of any kind of strategy, that is the normal pattern
within the Department. It is also following the Phillips Committee
guidelines as well, where the Phillips Committee also in relation
to the recommendations that they make is that scientific advice
is periodically reviewed and is examined.
Mr Wiggin
168. I question whether you review a policy before
you have a chance to analyse statistics on the increase in the number
of cases. Surely you would normally review a policy after you analysed
the statistics?
(Mr Morley) Not necessarily, because this strategy
has been running for about 5 years. We would normally have a review
in place on a 5 year period.
(Ms Eades) I was going to add, it would take us
some time to review this strategy and we do not expect to have a
complete review of this strategy in place until the end of the year
and by that time we will, of course, have the opinions of the statisticians
on the state of the epidemic at the moment. It is not a short process.
Mr Jack
169. Before I ask about the autumn package, one
question that has been niggling at my mind is, why is it so difficult
to deal with TB in cattle when we seem to have cracked it for human
beings?
(Mr Morley) I am not sure it is quite as simple
as that for human beings. When you think about it with all of the
resources internationally which have been devoted to dealing with
TB in human beings we still only have the BCG vaccination, nothing
has come forward since then. There has been very, very limited progress
in relation to combatting human TB and that might explain why it
has been so difficult in relation to the progress in dealing with
bovine TB.
(Mr Cawthorne) The other thing to bear in mind
is that human TB in this country is largely derived from infection
in cattle through milk and therefore it has been possible to take
that source, pasteurise it and kill the TB organisms. What you are
dealing with in cattle is a much more complex disease entity where
you are basically trying to test the disease and remove the animals
which are infected, coupled with a variety of controls. The epidemiology
of the disease, indeed the disease itself in cattle, is extremely
complex, as you are well aware. The answer to the human question
is, we are able to identify the major route by which humans become
infected and take action to remove or treat the source.
170. You made some changes in terms of the rules
governing animal movements in the October 2002 announcement, and
clearly that did not please everybody. In that context how do you
balance the need to alleviate the economic and animal welfare problems
against the risks of spreading the disease in terms of coming to
your policy change?
(Mr Morley) I feel the autumn proposals dealt
with the issue of trying to minimise the disease spread in the way
that centres would be set up and the movement directly to slaughter,
for example, or to a holding centre for calves which would be controlled
I felt was getting the balance right between minimising the risk
but also recognising the very real problems, which we do for those
farmers who are locked in by movement restrictions. I have visited
a number of farms myself, I have had meetings at farms where it
affected farmers and I know the very real, practical financial consequences
of those people under restriction. All of this work on bovine TB
is not going to be rapid and I do not think we should try and mislead
anyone. This is a debate which has been going on for 20 years or
more. I believe we are taking the right action, which is Krebs experiment,
which is exploring the link between wild life and cattle and also
the potential role in relation to the epidemiology and spread but
also looking at the cattle-to-cattle issue and looking at the vaccine
development. I personally feel we are covering all of the areas
that we need to cover without trying to be obsessed by any one reason.
We have to explore a number of reasons.
171. Mr Cawthorne, you said in answer to my earlier
question that this was indeed a very complex subject, given you
have made some changes, particularly in the autumn package, are
you in any way scientifically analysing the effect of those changes?
(Mr Morley) The changes are more management than
scientific.
172. Given the management issues under the area
of husbandry are part and parcel of the way that you are looking
at strategies to combat the strain of bovine TB here at a time when
cattle movements have been associated with the spread of the disease
- our previous witnesses gave us a flavour of that - I just wonder
if you were monitoring in some way?
(Mr Morley) In relation to cattle movement and
the spread of the disease I really do not think that there is a
very high risk in relation to the autumn movement package because
that is very tightly controlled. There is a very severe risk at
the moment of the disease being spread by cattle-to-cattle transmission,
in fact we have some proposals we put to the TB Forum about how
we intend to deal with that.
(Ms Eades) I just wanted to say the autumn package
relaxed movements of controls on cattle in very circumscribed fashion.
Cattle have always been allowed to move out of TB restricted herds
direct to slaughter, in fact movement is licensed. The autumn package
allowed for movements of animals which have passed the TB test,
we have to remember they have just been herd tested and they have
a clear test on the individual animal and it is permitted that the
movement to slaughter should be via alternative premises, but it
is still a movement to slaughter not a movement to another herd.
At the same time we announced that we were going to be placing additional
movement restrictions on herds which are consider to be high risk
herds, that is herds with overdue tests, where the TB status of
the herd is uncertain. Although it has been represented as being
a relaxation of movement control it was a balanced measure that
there were circumstances where the risk is extremely low, and in
those cases movement under license will be permitted. There are
other movements where the risk is considered to be very high and
in that case the controls were tightened. We felt that that was
a proper approach.
173. Minister, you mentioned in your previous
answer the words "TB Forum", why was it necessary to set
up at separate industry group?
(Mr Morley) The industry group are part of the
autumn package and really that is to oversee the points I was making
about management issues. You have the scientific issues which are
quite rightly overseen by the Forum, which is looking at the science
and the work and the research and development we are doing. The
autumn package is really designed to take some pressure off farmers
who are in restricted areas, as Sue says, in a very careful way,
it is a very restricted way and it is to look at the management
of that.
Mr Jack: Thank you.
Chairman
174. The ISG were a little exercised about the
lack of consultation with them prior to the introduction of the
autumn package, again Mike has picked up the relationship to the
TB Forum, can you just explain what process of consultation happens
with both the ISG and the TB Forum over issues which are wider than
bovine TB but obviously have an important impact on the effectiveness
of the measures we have been talking about?
(Ms Eades) In consultation with the ISG there
was a paper describing I think the element of the autumn package
which particularly concerned them, the gamma interferon pilot, which
they would like to see extended to cover other objectives than the
limited objectives which the pilot that is currently in place has.
They were consulted I think in June and July before the autumn package
was ---
175. They said 3 weeks.
(Ms Eades) It was not 3 weeks before the announcement.
The gamma interferon pilot was introduced ultimately in October.
They had seen the first draft of protocol for carrying out the gamma
interferon pilot either in June or July and they criticised the
protocol. which was amended accordingly. The revised protocol, which
took account of their original comments, was then shown to them
again and we had comments in writing from them that they considered
it to be much improved compared to the first version they had seen.
That all took place before the announcement of the autumn package,
which was in September.
Ms Atherton
176. We all know, and it is all pretty depressing
the situation on vaccination, and I understand the Chief Veterinary
Officer has started negotiations with international trading partners
about allowing vaccination and the changing of the rules. Can you
tell us something about that?
(Mr Morley) In a broader sense of vaccination
policy, is that what you mean?
177. Yes.
(Mr Morley) I think what was referred to there
was what we were talking about in our discussions generally with
bodies like OIE and the European Union, the current rules that apply
when you vaccinate animals and the retention periods of the sale
of meat and issues like that. I am not sure it is connected with
these particular issues. it is to do with the FMD discussions. One
of the problems with the whole argument on FMD vaccination was that
under the old rules if you vaccinated then you were not allowed
to resume trade for 12 months. I am glad to say that has been reduced
to 6 months but there are still issues there in relation to the
whole use of vaccines as a general policy.
178. Can you tell us something about the encouragement
that the Government may or may not be giving to private companies
to develop a vaccine? It has been suggested that could be a possible
route for a private company.
(Mr Morley) We are happy to encourage private
companies but it depends on what that involves. Private companies
will develop vaccines if they think there is a market for them.
Clearly there is a market here, it is a big issue for us in the
UK, the Republic of Ireland and also New Zealand. Even for a lot
of big pharmaceutical companies that might not be a market that
would induce them to devote a great deal of resources to vaccine
development, and that is one of the reasons why we are doing a great
deal of work ourselves on vaccine development through our own laboratories
and also in conjunction with other institutions and other countries.
The Genome Project is funded by DEFRA in collaboration with others.
We are also collaborating with the Republic of Ireland on the use
of BCG vaccines on wildlife.
179. You would be prepared to talk with private
companies about some funding mechanisms if it was to encourage them?
(Mr Morley) We are open-minded. I am sure there
would be a price to this and we would have to examine what that
price would be.
(Mr Cawthorne) The starting point is having a
candidate vaccine. It is not that the commercial company cannot
develop the candidate vaccine it is actually getting to the ground
floor and having a vaccine candidate that you know will work if
you know what you want it to do. That is a problem which is a global
problem, it is not as though it is DEFRAs problem or an individual
company's it is identifying a vaccine candidate you think will work.
Mr Jack
180. You just said something very interesting,
you said with a vaccine it is important to know what you wanted
to do. I thought it is blindingly obvious what you want the vaccine
to do, which is to stop the spread of the disease. Can you explain
to me in lay terms, what are the problems which are currently preventing
the development? Is there a scientific difficulty there which has
to be overcome before you can develop a vaccine? Are there umpteen
different strains of bovine TB and is it a question like the flu
of picking the right vaccine for the right strain? What is the barrier?
(Mr Cawthorne) I am not an expert in this particular
field but I think the answer would be that the immunological reaction
to tuberculosis is very, very complex, it changes over a period
of time. It is not like FMD where you inoculate the animal with
a vaccine, it produces anti-bodies and anti-bodies kill off the
virus end of story. This is a chronic disease which has a very complex
immunological reaction and the problem people have encountered is
trying to identify something which will produce a solid immunity
for this very chronic type of disease. That is the fundamental problem.
People have used attenuated vaccines which are live vaccines which
do not generate disease, which is basically BCG, and that has had
some success, even in the human population. There is a suggestion
that it might work in badgers but where it has been tried in cattle
I believe it has not been very successful. Types of vaccine can
be live vaccine in the sense that they multiply within the body
but do not create the disease that you want to. Other vaccines take
bits of the organism and if you innoculate them they would generate
antibodies and react with the organism and protect the animal against
that. The point I made about, do you know what it wants to do, well
this becomes a little more complex. You can have a vaccine which
maybe knocks out accretion, you might want that type of protection
in a badger, but there again you might want protection against a
clinical disease. That is protection against clinical disease but
it may not protect against infection, though the immune system may
throw it over, for example with foot and mouth disease vaccinated
animals can still become infected, albeit the body throws off the
infection very quickly. You need to identify what you are trying
to achieve. What you want to do is just protect. The other complex
area as far as cattle are concerned is your only means of controlling
the disease is to identify an infected animal and remove it. You
cannot afford to have a vaccine which supposedly protects the animal
against disease but gives a positive reaction to the tuberculosis
test because that is the only means you have. In conjunction with
the vaccine you need an additional test which allows you to tell
that the response you are picking up in the tuberculin test is a
response to the vaccine not a response to the actual infection.
These discriminatory tests are used in classical swine fever and
usually what you end up is manipulating the organism so that the
vaccine contains or does not contain certain proteins which you
can measure for when you are testing a live animal and say that,
yes, that is a vaccinal response, it is not a live animal response.
That is important because the tuberculin test still forms the basis
of the international accepted means of underpinning quality standards
for cattle in terms of trade. Your starting point becomes a little
complex in defining just what you are wanting.
(Mr Morley) We have submitted an authorisation
pack of vaccine to the Committee which goes through the various
steps. This is not based on a genetically modified organism, that
brings in additional complications.
Chairman: I am sure we will study that in due
course.
Mr Wiggin
181. What progress are you making on the vaccine
that you are actually funding, the actual research you are funding
and also the progress on the gamma interferon test? You are conducting
the right sort of research it seems but so far we do not know how
you are getting on?
(Mr Morley) On the gamma interferon I think it
is a bit early to say because we are still recruiting people into
the pilot test area.
182. It is not going very well, is it?
(Mr Morley) The recruitment is a bit slow, that
is true. I do not know the reasons why people are reluctant. I think
there is a concern about what it might show up on people's herds
and that produces a bit of resistance for people to join in on the
trial. On the vaccine the most important breakthrough has been the
identification of the genome, that ultimately will be quite helpful
in relation to vaccine development. At the moment there is no sign
of a breakthrough and it is very difficult to predict how long it
will be, it is certainly going to be measured in years in terms
of production of the vaccine. I know that Time Bennett may have
said that as long as he can remember it has always been said 10
years. That applies to me as well, as long as we are debating the
whole issue of vaccine it is 10 years, it is always 10 years from
whatever the point of time you are in. I think that genome breakthrough
is enormously helpful.
183. Will you ever have plans to try the BCG
test on cattle, perhaps only in hot spots?
(Mr Morley) On cattle?
184. Yes.
(Mr Morley) There have been trials in BCG and
as Richard said they have not been terribly successful. You also
have the problem that if you use BCG on cattle you will get a reaction
from the test. What we do not have is a test that can distinguish
between a cattle which has been vaccinated and a cattle which has
TB.
Chairman: Can we go on to TB99 and the RTA survey.
Mr Wiggin
185. On this TB99, why has DEFRA found it difficult
to ensure that the state veterinary service is properly resourced
for the TB99 questionnaire and the Road Traffic Act Survey?
(Mr Morley) I think the answer is they are both
very time and resource consuming. It is fair to say as part of recovering
from FMD it has been difficult to allocate the resources to those
two areas because of demands on our State veterinary service. As
you will be aware, Chairman, we have actually put the Road Traffic
Survey into the hands of the Central Science Laboratory and that
has made big progress. We have also brought in ADAS to speed up
TB99. I think you will find that we have made rapid progress very
recently in terms of dealing with those issues by bringing in more
resources because basically the SVS could not cope.
Mr Wiggin: It is quite a complicated form and
that is why so few have been filled out. Have you had any discussions
with the ISG about the form?
Chairman
186. The NFU were very critical of the form in
their evidence.
(Mr Morley) The more complex they are the more
information you get and the more information you get the more valuable
they are I think.
Mr Wiggin
187. As long as you get the information!
(Ms Eades) The ISG are hoping to do an interim
analysis on the TB99 data when they have sufficient completed forms
for analysis, and we hope to be at that stage very soon. One of
the things that interim analysis will do is to look again at the
design of the form to see if it can be simplified, of course it
is always possible they may identify additional questions they want
to address. It would be foolish really to try and change the design
of the form before we have been able to do an interim analysis because
there would be data we have been collecting which would be completely
out valued.
Mr Wiggin: Thank you very much.
Chairman
188. Can we go on to the most controversial part,
which is the culling. From what the ISG were saying to us they feel
that they have made good progress in catching up on the proactive
cull but they are somewhat behind in terms of reactive cull, although
they anticipate catching up some time towards the end of next year.
From your anticipation how much has this derailed the timetable?
(Mr Morley) In relation to the analysis of the
timetable that is really one for the Independent Scientific Group,
they have given their views, as they have given me their views,
and they believe that will only set them back by a matter of months.
They have had particular problems with the reactive cull for a variety
of reasons, again going back to the foot and mouth and the diversion
of our resources. I am pleased to say that turnaround on the reactive
is now approximately 60 days. Again we have made very good progress
on catching them and getting back on track on all these elements
of trial.
189. Do you expect any interim results and would
it be helpful to have interim results?
(Mr Morley) From talking to Professor Bourne I
do not think we like to produce interim recommendations unless it
is felt there is a scientific basis to do so.
190. What about outside the trial areas? We heard
earlier about the strategy, to what extent are you actively discussing
either timing the potential moratorium and making sure that farmers
do not take any action off their own back or more particularly looking
at whether it is working and making farmers at least feel they have
some control over what they see as the cause or feature of TB. I
know there are farmers in the farming community who think that overwhelmingly
badgers cause TB.
(Mr Morley) I was disappointed by the current
call for a badger cull outside the trial area, I cannot see a shred
of evidence to base that on. Obviously we have to look at everything
in connection with the spread of TB, and that includes wildlife
reservoirs, which includes badgers, and we have to consider the
whole idea of the Krebs trial to help us understand what that link
is and if the link is there what role badgers play in relation to
the spread and epidemiology, and that itself was controversial and
difficult because we have to be responsible about addressing the
whole issue of bovine TB and look at all possibilities that we have
and continue to support it. I think to start culling badgers outside
the trial areas there would have to be very, very clear justification
for that. I do not see that justification at the present time. I
do not see the scientific case for it. I do not see the practical
case for it. In some ways it seems based on folklore and we have
to do better than that in relation to combatting disease. I am not
afraid, Chairman, to duck from difficult and potentially unpopular
decisions, I have to make a lot of them in my role.
191. We know only too well.
(Mr Morley) I would need some basis and some evidence
to do that. I am not in the game of agreeing to a culling trial
outside the trial areas simply because it would be a demonstration
to farmers that something was being done or whether or not there
was justification for that because in the best case it would be
a diversion of resources, time and staff and in the worse case it
would simply be a placebo for farmers. I am not prepared to take
that kind of action unless there is a case for it. In fact you are
going backwards in the sense of going back to a policy which has
been in place for over 20 years and has not exactly stopped the
spread or the increase of bovine TB, it is not as if you are invited
to go back to a policy which was a huge success. Therefore I would
really have to have some very strong grounds to do that. As far
as I can see those grounds are not there at the present time.
192. What about other wildlife reservoirs? One
of the weaknesses of Krebs is, "It is the badgers what've done
it, let us find out for good and bad how much they have done it".
What about all of the other supposed links, because that is a potential
weakness?
(Mr Morley) My understanding is that examination
is taking place into deer, which are known to be carriers, and also
farmyard cats and dogs, although the incidents of infection is extremely
rare and the incidents of infection in deer is also very low. They
are examined as well.
Mr Breed
193. The last time husbandry came before the
Agriculture Committee for investigation there was a suggestion there
was quite a few husbandry linked projects which were going to take
place and going to be started, however then foot and mouth came
along and that delayed some and it also gave a different prospective
as to how the whole issue of husbandry, biosecurity and everything
else was going to be implemented. Can you tell us, how is this message
now going to be reinforced? What sort of projects are still valid?
How are you going to do that? How is this whole area of husbandry
and biosecurity going to be reinforced?
(Mr Morley) First of all, it is worth pointing
out there have been a number of circulars to farmers about the whole
issues of biosecurity and in particular in relation to bovine TB.
Secondly, the Animal Health and Welfare Strategy, of which I am
very glad to say we have had very positive engagement from the livestock
industry, is going to address that in a total approach, of which,
of course, there is an issue of biosecurity and bovine TB, but there
are wider issues of biosecurity, and that is one of a number of
issues that we want to address in more detail as part of our Animal
Health and Welfare Strategy. The draft principles have been launched
and we are currently in the process of consultation on that, with
the idea of bringing forward more detailed proposals towards the
end of the year.
(Ms Eades) I was really going to say we are having
an interim Animal Health and Welfare Strategy this summer. The consultation
document has clearly identified questions that need to be addressed.
Taking forward a partnership approach in tackling animal health
and welfare problems is called an animal health strategy because
we recognise that we need to focus on health. There have been times
in the past when we have been too wrapped up in the disease issues
but the promotion of good health and measures which farmers can
take to maintain the health of their herds is something that we
are very much aware of and want to improve our performance on, and
it would be done in that form.
194. Do you have any real evidence that this
broadly based strategy which is going to encompass all sorts of
thing is going to bear down very significantly on bovine TB?
(Ms Eades) We do have evidence. We are beginning
to analyse the results of studies that we have been doing on herds
which have been restocked after foot and mouth disease. Foot and
mouth disease was a dreadful disease but it has really given us
an opportunity to look at the effect which biosecurity measures
have in terms of protecting herds. To be frank, the initial results
from that study show, first of all, that biosecurity measures were
not taken despite the advice that was provided to farmers. Secondly,
they lead us to believe that we really need to do more. If the current
means of providing advice to farmers are not meeting the target
that is the difficulty that we have. We need to find other ways
of getting the message across, that is going to be a very difficult
subject for us to tackle. We need to be a bit more free thinking.
Before we have tended to produce just another biosecurity leaflet
but that is not the answer to the problem.
195. The fact is that the best of farmers are
obviously really geared up to this because they know it is their
livelihood which is threatened but there is a tail, I do not know
how long big a tail, who do not care a toss about biosecurity. If
sanctions will not work maybe incentives will. The whole point about
the debate on licensing was that presumably we were going to pay
people who do the job well, as indeed happens in any other industry,
to make them feel that it is worth their while and presumably we
could then deal with this tail in an effective way so that we do
not have these continual threats of animal welfare breakdown or
animal health breakdown. What is the view on this now?
(Mr Morley) I think that is right, Chairman. It
is like any industry, you obviously get good and bad. The majority
are people who it is in their interest to have high health standards
but there is a minority, who range from poor husbandry to basic
illegal activity. It is also a problem that there does seem to be
a lack of questioning upon on the health history of cattle in particular
which are brought in. That does not really seem to have established
itself in the way that we had hoped, particularly given the guidance
that we issued from the Department.
Mr Wiggin
196. One of the problems that farmers complain
about is they cannot get the cattle tested. In an ideal world every
time you bought a cow or any sort of bovine you would have a test
done before you bought it but they cannot get those tests done.
One farmer in my constituency has put an electric fence round his
whole farm to stop the badgers taking the maize. If you start to
insist on bovine TB being a criteria for deciding whether a farmer
is good or bad then you will see a wholesale slaughter of badgers,
because that is what they believe is causing the disease. They are
prepared to put their money where their mouth is. I urge you not
to go down that road but to consider other ways of convincing farmers
if biosecurity will help how it will help rather than take a punishing
line with them.
(Mr Morley) Testing should not be seen as punishing.
We have a problem at the present time and I think testing is part
of the solution to it. I do not think it is the only solution, that
is why, as I said earlier on, I do not think we should be trapped
into thinking there is one magic answer to the whole problem of
bovine TB, the answer is a combination of things we have to look
at. In areas where there is widespread TB I think it makes common
sense to have testing before animals are moved on. I was talking
to some dairy farmers from Cheshire recently who were keen on this
idea. They were talking to me about the idea of isolating cattle
coming in and testing it, which is certainly worthy of consideration,
but it is probably better to do the testing before the animal moves,
that is the more logical way of doing it. I do not disagree there
can be difficulties in arranging the test because of the veterinary
resource, that is true. That is why I come back to the point that
one of the things we are exploring is the idea of veterinary technicians,
possibly working under veterinary supervision, which would dramatically
speed up the whole issue of testing. It is one of the aspects that
we want to explore.
(Mr Cawthorne) I think it is easy to get seduced
on biosecurity looking purely at TB. There are many issues on biosecurity
which cut across all animal diseases, disinfectants, holding animals
in isolation before they join the main herd, etc, etc. Those are
things that will work for TB and they will work for other diseases.
On the issue of the difficulties of getting animals tested, fine,
there may be that problem when there is this awful backlog but equally
farmers can take the trouble to look at the quality, if you like,
of the animal that is coming to them in terms of searching questions
about the testing history of the farm and where the farm is located.
The purchaser can set out to impose some form of quality control
on the livestock that he is introducing into the system. There are
things which the farmer will have difficulty controlling because
TB hinges round the policy of test and remove, that is a fact of
life. The badger issue is a function on particular farmers, no one
is denying that. I do not think we should look at biosecurity solely
in terms of TB control. Biosecurity in the sense of the animal health
strategy is an across-the-board attempt to raise biosecurity on
animal health standards on farms as a whole and many of those will
aid in the control of tuberculosis.
197. In line with what you were saying about
pre-purchase testing, a lot of the cases in my constituency are
from closed herds. Everyone would appreciate pre-purchase testing
but who would pay for that?
(Mr Morley) It would be the farmer's responsibility.
198. Are we complying with EU TB testing regulations
at the moment? What measures are in place to ensure that we do so?
(Mr Morley) We are certainly complying with the
testing regulations. There has been the backlog issue but we are
getting on top of that.
(Mr Cawthorne) We carry out tests as required
under EU legislation. We impose the post testing regime which is
required when animals show up positive. In that sense we do comply
with the EU requirements. We are not testing in any way different
to what is required in the EU.
199. Do you think when all the strands of the
different research are concluded - it is highly unlikely they all
conclude at the same time - you will be expected to put a policy
together? How do you think you will manage to do that?
(Mr Morley) We have to put a policy together,
we have to deal with the current issue as we are faced with at the
present time. We are trying to adapt our policies, and the autumn
announcement is an example of that. The proposals that we have put
to the TB Forum includes their capital movement issues, test frequencies
to be reassessed, additional controls according to the zone and
the individual herd health history, and also looking at measures
to include delivery of a TB control programme and address the shortage
of veterinary resources. That is part of the strategy that we are
putting in place to deal with that. Of course we are waiting for
the recommendations from the Independent Scientific Group which
will be designed to guide us in how we direct strategies for the
future.
Mr Jack
200. You are quite right when you countenance
that this problem has been round for a long time. You also said
a little while ago in your evidence not to think matters are spiralling
out of control. Whilst it is containable and it has not spiralled
out of control I could get the impression you are quite happy to
be like the organ grinder and turn the handle quite slowly, is there
a point at which the number of cases occurring means that there
has to be a step-change in DEFRA's policy and reaction to it?
(Mr Morley) I understand the point you are making.
What we are concerned about is policies which are effective. The
current situation is a matter of concern, I would not want you to
think we are complacent about where we are with bovine TB, it still
only effects a small minority of the UK herd but it has spread and
increased and these are issues of concern to us. We do want to put
in place a strategy that ideally would lead to eradication. I do
not think we want to see a policy that would be designed to live
with bovine TB, all our energies and a great deal of resources are
currently directed towards ways of trying to find ways to eradicate
diseases.
201. What are you currently spending on dealing
with the eradication of this disease?
(Mr Morley) Probably between 6O million and 70
million currently.
202. How much in compensation pay?
(Mr Morley) Roundabout 24 million. It is unusual
year because we have a two year gap basically.
203. You are looking at an annual spend of about
20 million on compensation, is that the order of magnitude?
(Mr Morley) 2002 is an unusual year because you
have a two year gap. On compensation it is about £31.7 million
in 2002. .
204. To put it into context, compared with BSE
and compared with FMD this is very small beer really, is it not?
(Mr Morley) Compared to those major outbreaks
it is true it is a fraction of what they cost but these are still
significant sums of money by any assessment. I would rather not
be spending £73 million a year, which is what the total will
be for 2002, on FMD. There are lots of other things I would like
to spend that money on. The sooner that we can get the disease under
control the better that that will be.
205. It is not going to be like varroa where
every year you draw a different line on map and say, "This
is the new varroa-free area", the nasty little varroa mites
leap over and populate another area and eventually you end up with
no varroa-free zone. At the moment there are some parts of the country
where, thankfully, we have not had outbreaks, it is gradually creeping
in and people are frightened about it.
(Mr Morley) Varroa is a very difficult issue to
contain, as you well know.
206. Indeed.
(Mr Morley) TB is also very difficult but we do
not want to be in that situation. We want to fight back the outbreaks
and move to a situation of eradication. We are prepared to commit
substantial sums of money to finding ways to do that, as indeed
we are.
Mr Wiggin
207. Given the statistics do show what we are
all feeling in our constituencies, that the number of cases is increasing
dramatically, what hope can we tell our constituents about?
(Mr Morley) I think it is important to explain
where we are with the testing and the statistics. We are doing much
more testing this year than we generally would. I think we have
done about 20 per cent more testing. We are finding more breakdowns
within a herd because of the delays and the backlog, and then there
has been more spread within herds so therefore there is more backlog,
so you are therefore getting more reactors and therefore you are
culling more animals and paying more compensation. This is all a
direct result of a delay in some cases of up to 18 months because
of foot and mouth. I believe this will be bought on a more even
keel. I think what we will see is that the spread will probably
still increase but not quite so dramatically as people feel at the
moment because of these figures which look really very significant
but are based on two years' gap in some cases. I think it has to
be put in perspective. The other issue is to reassure farmers that
we are committing everything we can on vaccine development, on disease
control and the Krebs experiment. We do not rule out that there
may well be a link with wildlife, which is badgers, and disease,
but what we do not understand is what that link is or how significant
it is or the best way of dealing with it. That is the whole idea
of the experiments and we need that information to guide us on the
best way. We are prepared to deal with some of the practical problems
which farmers face, as we demonstrated with our autumn announcement,
and the proposals we put to the ISG are based on our discussions
with the industry in terms of how we can deal with it.
Chairman
208. Thank you, as always, Minister, and thank
you to your team as well. Two good pieces of news: one, you do not
have to give any more evidence and we have to go away and write
the report, and, second, if the Business Statement is to be believed
you do not have to give evidence on flooding this week so you can
delay that for a few weeks. So it is a much easier week than you
originally thought.
(Mr Morley) Thank you, Chairman. Good news all
round.
Further Reading Recommended by Land-Care
Badgers and TB in Cattle: the view of a dairy farmer.
(Filed 27 February 2003, www.land-care.org.uk,
click here
to view).
The Krebs Report and the Independent Scientific Review Group.
(Filed 27 February 2003, www.land-care.org.uk,
click here to view).
Irvine, W. J. (2003). Just how bad is the TB problem in UK Cattle?
(Filed 25 February 2003, www.land-care.org.uk,
click here
to view).
Incidents of TB in Cattle in Scotland, 1995-2002.
(Filed 26 February 2003, www.land-care.org.uk,
click
here to view).
Cultybraggan Farm Diary (2002). Routine testing of Cultybraggan
cattle for Tuberculosis and Brucellosis, November 2002: All results
negative.
(Filed 26 November 2002, www.land-care.org.uk,
click
here to view).
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