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FAMACHA method for detecting clinical anemia caused by Haemonchus contortus in suckling lambs and lactating ewes

Abstract:

The control of gastrointestinal parasites in small ruminants has traditionally involved the indiscriminate use of anthelmintic drugs that resulted in a high parasite selection pressure for anthelmintic resistance. Selective methods (ex.: FAMACHA/FMC and faecal egg count/EPG), which have good sensitivity to identify animals that need drug treatment, are important alternative methods for parasite control. The objective of this study was to determine the sensitivity and specificity of the FMC method to detect clinical anemia caused by Haemonchus contortus in two highly susceptible categories of Suffolk sheep; suckling lambs and lactating ewes. The ocular conjunctivae of 42 suckling lambs and 35 lactating ewes were evaluated using the FMC method at 14 days interval for five months. Hematocrit (Ht) served as the gold standard for anemia evaluation. To calculate the sensitivity and specificity of the FMC method, different criteria were adopted: animals classified as 4 and 5, or 3, 4 and 5, were considered to be anemic (positive test), and animals classified as 1, 2 and 3, or 1 and 2 were considered to be non-anemic (negative test). Three standard values of Ht (≤22%, ≤19% or ≤15%) were used to confirm anemia. Among the prevalent genera of helminths H. contortus (61.5%) and Ostertagia sp. (21.3%) were the most predominant species in the coproculture. For both categories, the inclusion of FMC 3 as a positive test increased the sensitivity but decreased the specificity of the method. When FMC 3 was included as anemic, the percentage of false negative was close to zero, but a greater number of treatments were applied to non-anemic animals (false positive). Most of the lambs (73%) and ewes (57%) remained in categories 1 or 2 throughout the trial. Only 5% of the lambs and 8% of the ewes were classified as the two major stages of anemia (4 and 5). The results indicate that the FMC is a safe method to be used in lambs and lactating ewes with clinical anemia from H. contortus infection. For both categories, it was necessary to include FMC 3 as a positive condition to increase the sensitivity of the method and to reduce the risk of death of undiagnosed anemic animals (false negatives).

Index Terms:
FAMACHA method; anemia; Haemonchus contortus; lambs; ewes; hematocrit; selective treatment; sensitivity; sheep; specificity

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