Ruminant species (hoofed herbivores with four-chambered stomachs that chew their cud) are the natural host for and most affected by Mycobacterium avium ss. paratuberculosis (MAP). All genera of this diverse and numerous taxonomic group are believed susceptible to infection (pseudo-ruminants such as camelids as well). In these species the infection eventually proceeds to gastrointestinal disease and death. This is true for domestic agriculture ruminants (such as cattle, sheep and goats), ruminant wildlife in captivity (e.g. addax, eland, and muntjac) plus free-ranging ruminants including bison, moufflon and guanaco. Cases of Johne’s disease (the clinical illness that appears months to years after initial infection by MAP in young animals) have been reported in every country in the world that has tested for it. The infection can spread from one ruminant species (for instance cattle) to another (goats, sheep, etc.).
Non-ruminant species (omnivores, carnivores) are infrequently infected, and few of these infections have been shown to progress to either clinical illness or systemic pathology. In these “atypical” hosts (such as fox, stoat, badger, raven, etc.) the organism is believed to be acquired through eating infected prey*. While insufficient research has been completed to make any firm conclusions, it is believed that these non-ruminant species are “dead-end” hosts i.e. that the infection is not shed in the feces or milk to represent a risk of transmission and that offspring do not become infected in utero. There have been a few reports MAP infecting pigs, horses, and nonhuman primates. (See the Zoonosis section for a discussion of whether MAP represents a health risk for humans).
One non-ruminant type of animal does appear affected by MAP infection: rabbits and hares. There has been extensive investigation of a location in Scotland where rabbits have not only been infected by the same strain as MAP as found in the dairy cattle sharing pasture, but appear to maintain the infection in subsequent generations without re-infection from cattle or the environment. In some of these rabbits, MAP caused pathologic lesions resembling Johne’s disease. MAP infection of rabbits and hares in other countries has been reported as well, but subsequent disease is rarely described and these populations do not appear to be reservoirs of the infection as is seen in Scotland.
Johne's disease has steadily dispersed around the world with the global trade in animals. First recognized in Europe, it has now been reported on every continent. Up to 68% of dairy herds and 8% of beef herds in the United States were found to have evidence of the infection in a recent study. Prevalence estimates in other domestic species such as goats are not available due to limited testing and reporting, but virtually all ruminant industries list Johne’s disease as a common problem. The reported prevalence of infected animals by country is at least partially a reflection of the diligence with which veterinarians and animal owners look for the disease.
In the dairy industry, the within-flock prevalence is a function of the size of the flock: the larger the flock, the more likely that infected cattle have been introduced. The infection has been found in many breeds of cattle and while studies are underway to assess whether some breeds or lines are more susceptible than others, nothing conclusive has yet been reported.
Cases of Johne's disease have been reported in both captive and free-ranging wildlife, but the infection is much more common in domestic ruminants due to prevailing animal husbandry methods that result in high animal density and multiple routes of concentrated MAP exposure for youngstock.
MAP is an obligate animal pathogen. This means that the only place the mycobacteria can multiply is inside an animal (ruminant). Most accurately, it is inside cells that are part of the animal's immune system called macrophages. When MAP leaves an animal, for example in the feces, it can survive at low numbers for a long time (up to a year) in environments such as soil and water, but it cannot multiply there. Consequently, the primary source of infection is infected animals’ manure (and the resultant contaminated environment) and milk.
As MAP infection progresses in an animal, the frequency and number of bacteria being excreted increases. Manure management is a big problem for agriculture industries and manure contaminated with MAP is particularly troublesome. This contaminated manure may be used as fertilizer for crops, be injected into the soil, be placed in a (leaky) lagoon, or run off pastures or fields into streams, ponds and groundwater. Thus the environmental burden of MAP can increase, and can spread beyond herd premises. For more detailed information on the survival characteristics of MAPsee the part of this website called "Biology of MAP”.
Milk from infected ewes a second source of MAP infection. Just as with fecal shedding, the likelihood of MAP being excreted into milk increases with time as the infection progresses. MAP may be excreted directly into the mother's milk and/or the surface of the teats might be contaminated with infected manure. The probability of lamb becoming infected by drinking milk is a direct function of the time spent with the ewe and/or how often they are fed milk from infected ewes (or cows, if lambs are bottle-fed with unpasteurized cows’ milk). When contaminated milk is pooled, more lambs may be exposed.
MAP infection prevalence is much higher in closely-housed domestic agriculture ruminant herds than in wildlife. The risks of transmission are thus much greater from cattle, sheep or goats than from deer or other free-ranging ruminants.
Most MAP transmission occurs from adult infected animals to young calves, kids or fawns through the fecal-oral route. The organism is swallowed in manure-contaminated milk, water or feed; sometimes manure is swallowed directly. MAP is also shed directly into the milk and colostrum of infected dams in later stages of infection, providing another route of exposure for susceptible young animals. Once established in a population, Johne's disease can be expected to spread more quickly in species producing twins or triplets (e.g. sheep) as opposed to single offspring since a greater percentage of the flock/herd is at a susceptible age and more animals are exposed to an infected dam.
Another transmission route is in utero: a fetus may become acquire the infection from its infected dam even before it hits the ground. The clearest example of this was an embryo transfer case managed under the strictest of research biosecurity conditions to prevent any exposure to MAP after birth (e.g., C-section birth and removed immediately from recipient cow, colostrum and milk collected from a different cow that was repeatedly test-negative bottle-fed, hay from uninfected herd pastures, etc.). While the embryo recipient cow was Johne’s disease test negative at the start of the pregnancy, it became strong ELISA-positive result in month six. After the C-section, the recipient cow was proven infected at necropsy. Two years later, the (very valuable) embryo calf was ELISA-positive and MAP infection was confirmed at necropsy. The recipient cow had been purchased from a herd with a history of Johne’s disease.
There is no transmission risk through nose-to-nose fence line contact (unless contaminated manure is sluicing under the fence), through sneezed aerosols, or via artificial insemination or natural breeding. The most likely way MAP initially enters a herd is when a silently infected animal is purchased and introduced: the greatest risk of a show is the auction when a silently infected ram, lamb or ewe is purchased and introduced to the home flock.
These transmission factors form the basis of MAP infection control: protect the future of your flock (the youngsters) by making sure they are not exposed to potentially contaminated adult manure or unpasteurized milk from potentially infected animals. The extent and duration of exposure to contaminated manure and milk from infected adult animals directly affects the likelihood of sufficient MAP transmission to cause a new case of infection. Clean, dry, birthing environments and housing of lambs away from the adult flock limits the possibility of infection transmission. Conversely, dirty birthing pens or fecal contamination of feed and water supplies will promote spread of the infection.