ThePigSite Pig Health
Classical Swine Fever (CSF) - Hog Cholera (HC)
Classical swine fever (CSF), otherwise known as hog cholera (HC) or just swine fever, is a specific viral disease of pigs. It affects no other species. It is a notifiable disease in most countries of the world.Importance of CSF
CSF is one of the most economically-damaging pandemic viral diseases of pigs in the world. Many governments take it very seriously and adopt strict control policies, which include compulsory vaccination or slaughter and eradication policies.
In a susceptible (unvaccinated) herd almost all the pigs are affected. It causes generalised disease, including fever, malaise, lack of appetite, diarrhoea, paralysis, abortion, mummification and the birth of shaking piglets. Mortality is high.
Fortunately, there is only one serotype of the virus and attenuated vaccines are highly effective. Also, it does not spread on the wind or on insects or birds so standard precautions of farm biosecurity should keep it out. However it persists in uncooked and cured meat and these should not be fed to pigs.
Should you be concerned about CSF?
If your pig farm is in the United States, Canada, Chile, Australia, New Zealand or Ireland, which can be regarded as free countries and which are most unlikely to be recontaminated, you need not be concerned about it.
If your pig farm is in Western Europe, most of which can be regarded as a fringe region, (i.e. free from the virus but at risk of re-entry) you should be concerned because although your country is probably free from the virus, there is a real risk that it might get back in from Germany, Central Europe or Eastern Europe.
If your pig farm is in Germany, Austria or Poland, although the domestic pig population is free from the virus, it is endemic in the wild boar population which poses a threat to your herd. This might also be true of Italy.
If your pig farm is in the South of Brazil, although your area may be free from the virus there is a risk of it getting back in from the North.
The virus is thought to be endemic (enzootic) throughout the rest of Central and Eastern Europe, S.E. Asia and Africa so if you are involved in pig production in any of these areas you may need to vaccinate your pigs routinely.
Clinical signs
If you are involved in pig farming in one of the fringe regions identified above you should be able to recognise the early clinical signs so that you can alert you veterinarian. If the disease is suspected he/she will report it to the authorities. They will carry out laboratory tests and depending on your country's policy, will probably slaughter your herd, a very distressing experience even if you are paid compensation.
The virus that causes CSF varies in virulence. Some strains are highly virulent and cause acute (i.e. rapid) serious disease. Some strains are of low virulence and cause chronic (i.e. long-lasting) disease, others are intermediate causing sub-acute disease.
Acute disease
Younger piglets may appear chilled, shiver and huddle together.
Initially affected pigs may appear to be constipated but this generally changes to a yellow-grey diarrhoea as the disease progresses. Early on some of the pigs may develop conjunctivitis (inflammation of the eye surface) with thin discharges. This gets worse, the discharge getting thicker with time until some of the eyelids are completely closed and adhered.
A constant early sign, which persists throughout the disease until just before death, is a high fever, over 42ºC (107ºF). Check the sick pigs' rectal temperatures. If they are all high suspect CSF.
As the disease progresses the affected pigs become very thin and weak and develop a staggering walk. Initially this is probably through weakness but later it is due to infection of and damage to the spinal nerves. Partial paralysis of the hind end results in a drunken walk and a tendency to fall to a sitting or lying position. Diarrhoea worsens and some pigs vomit a yellowish bile. The pigs' skins go purple, first over the ears and tail, followed by the snout, lower legs, belly and back. Affected pigs die in 10-20 days. Some pigs go into convulsions before death.
Sub-acute disease
Chronic and aberrant disease and persistent infection
If the virus crosses the placenta before the piglets' immune systems have developed they may be born apparently healthy although possibly weak and may grow on to be persistent carriers without at first showing clinical signs. They shed virus so they are a menace to other pigs. At several weeks or months of age they may develop typical clinical signs but these are likely to be milder, last longer and without the high temperatures.
Virus that infects the piglets in the uterus may cause other effects, namely, death, mummification, abortion or the birth of weak piglets some of which may be deformed. Vaccination of sows during pregnancy with some of the original attenuated virus vaccines resulted in trans-placental infection of unborn piglets with similar adverse results. The newer attenuated vaccines are claimed to be safer.
Low virulence strains of the virus may also multiply in the reproductive tracts of unvaccinated boars or boars which have been inadequately vaccinated. The vaccine virus itself in some of the older attenuated vaccines was thought to do this, resulting in returns to service and abortions.
Diagnosis
In acute or sub-acute outbreaks a presumptive diagnosis can be made on the typical clinical signs and post-mortem lesions but African swine fever and Salmonella choleraesuis infection produce some similar signs and lesions. Salmonella choleraesuis is frequently a concurrent pathological infection with CSF virus, triggered off from its latent state by the CSF virus infection.
In chronic or aberrant cases the clinical signs and lesions are less diagnostic and may only raise a suspicion of CSF.
In all suspected cases laboratory tests should be done to confirm the diagnosis. Investigations are usually carried out by the authorities.
It is best to send whole dead pigs to the diagnostic laboratory so the pathologists can sample what they want. If only samples can be sent the tonsils are best.
The tonsils of the pig are very easy to find. Cut away the skin and flesh under and between the lower jaw bone including the tongue. The pair of tonsils are two large red patches each about the size of the end half of your thumb or perhaps slightly bigger. See chapter 15 (Swabbing). Do not freeze them but send them packed with ice.
Virus is present throughout the body. In addition to the tonsils the next best organs to send are the spleen, kidneys and last few inches of the small intestine (before it meets the large intestine).
The laboratory should be able to carry out rapid tests and let you know the diagnosis on the same day they receive the samples.
A quick and fairly accurate test, which has been used for a number of years, is the direct fluorescent antibody test (FAT) carried out on frozen sections of the tonsils or other organs. It can sometimes give false negative results but this can be avoided if a sufficient number of pigs' tonsils are sampled. The CSF virus also cross reacts in the FAT test with bovine virus diarrhoea virus (BVDV) of cattle and the border disease virus (BDV) of sheep, either of which may sometimes infect pigs. Post-mortem
If pigs are laid on their backs after death and opened up for examination the picture is striking. There are usually many small haemorrhages throughout the body and larger haemorrhages in some organs such as lymph nodes. Some of these may be bright red and filled with blood. Larger haemorrhages may also be present in the lungs and under the skin.
The kidney surfaces are often described as looking like mottled ducks' eggs in that they are covered with variable sized bloody spots.
The spleen may have dark raised areas of dead tissue. Similar areas of dead tissue occur in other organs (e.g. the tonsils) but are more difficult to find.
The lungs may show severe pneumonia, haemorrhage and pleurisy usually resulting from secondary bacterial infection.
The stomach and gut are usually empty except for scant liquid which may be brightly coloured. Fairly unique lesions to look for are raised so-called 'button ulcers' on the inner lining of the large intestine near its junction with the small intestine.
Management control and prevention
Vaccination
Links to other web pages
Below are some links to other web pages looking at CSF.
OFFICE INTERNATIONAL DES EPIZOOTIES - Classical Swine Fever
Clinical signs usually appear first in a small number of growing pigs which show non-specific signs of depression, sleepiness, and reluctance to get up or to eat. If you get them up they may wander to the feeder but eat very little or nothing and wander away again to lie down. They walk and stand with their heads down and tails limp. Over the following few days these signs get worse and more pigs become affected.
The early signs in growing pigs are similar but they progress more slowly and are less severe. Affected pigs may be ill for up to 30 days before they die.
The virus can cross the placenta and infect the piglets in the sow's uterus. Sows that have been inadequately vaccinated that become infected, or sows which become infected with a virus of low virulence, may appear normal but give birth to shaking piglets many of which die. (Note: there are also other causes of shaking or trembling piglets).
Larynx of pig with swine fever, note haemorrhaging (red and dark black areas)
Kidneys showing small pinpoint heammorrahges.
Haemmorrhaging inside chest cavity.
These viruses can cause trans-placental infection of unborn piglets in the sow's uterus resulting in infertility and piglet problems similar to those of CSF. Such congenital infection may also result in newborn piglets which are shedding virus and thus infecting other pigs.
The false positive results obtained in an FAT may cause awkward problems if there is a control or eradication policy in force. Specific antibodies against specific antigens of the CSF virus differentiate it from BVDV and BDV. Fortunately, BVDV and BDV are relatively rare infections in pigs kept separately from cattle and sheep. One source of infection with BVDV, however, may be the feeding of raw milk by-products to pigs. Another source may be the accidental presence of BVDV in live attenuated aujeszky's disease (pseudorabies) or other vaccines. Recent vaccination (i.e. a few days) of pigs with attenuated CSF vaccine may also cause positive FAT results.
. Haemorrhaging in bladder of pig with swine fever
Normally it requires a trained person to interpret post-mortem examination findings but in the case of CSF an untrained pig person should be able to recognise some of the more marked lesions
National eradication programmes
National preventative programmes
On-farm precautions
A thorough description of the diseases, similar to above.
OIE - Experts and Reference Laboratories for CSF
List of Experts and Reference Laboratories for CSF
Duties of the EU Reference Laboratory for Classical Swine Fever (CSF)
The main objectives are the standardisation of diagnostic procedures within the EU Member States, the training of scientific personal and knowledge on current research and control strategies for CSF.
Information Note: European Court of Auditors on classical swine fever.
The common organisation of the market in pigmeat traditionally provides only limited market support for the sector but, when there is an epidemic of classical swine fever (CSF), Community expenditure on exceptional measures to support the market and veterinary measures results in a quantum increase in the charge to the budget. This article looks at EU compensation in the light of previous CSF outbreaks.
US Dept. of Agriculture Animal and Plant Health Inspection Service
Information for US producers from APHIS on CSF







