Susanna Sternberg-Lewerin

Prof. Susanna Sternberg-Lewerin

Department of Biomedical Sciences and Veterinary Public Health, Swedish University of Agricultural Sciences, 750 07 Uppsala, Sweden
orcid

Research Focus & Metrics

Academic Career Length

29Years (1998-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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1 May 2011 in Preventive Veterinary Medicine
Verified
Journal Article
Closed access
MNMaria Nöremark
Maria Nöremark
NHNina Håkansson
Nina Håkansson
SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
ALAnn Lindberg
Ann Lindberg
AJAnnie Jonsson
Annie Jonsson

16 April 2015 in Transboundary and Emerging Diseases
Verified
Journal Article
Closed access
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ECERIKA CHENAIS
ERIKA CHENAIS
SBSofia Anna Boqvist
Sofia Anna Boqvist
SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
UEUlf Emanuelson
Ulf Emanuelson
EOE. Ouma
E. Ouma
KSK. Ståhl
K. Ståhl
Uganda is a low‐income country with the largest pig population in East Africa. Pig keeping has a large potential, commercially and as a tool for poverty reduction, but African swine fever (ASF) is a major hurdle for development of the sector. The objective of this study was to evaluate knowledge, attitudes and practices related to ASF in the smallholder pig production value chain in northern Uganda. The study included three separate series of participatory rural appraisals (PRA), comprising purposively selected farmers and other actors in the pig production value chain. In the PRAs, various participatory epidemiology tools were used. A total of 49 PRAs and 574 participants, representing 64 different villages, were included. The results indicate that participants were well aware of the clinical signs of ASF, routes for disease spread and measures for disease control. However, awareness of the control measures did not guarantee their implementation. A majority of middlemen and butchers acknowledged having sold live pigs, carcasses or pork they believed infected with ASF. Outbreaks of ASF had a strong negative impact on participants’ socio‐economic status with loss of revenue and reversal into more severe poverty. In conclusion, lack of knowledge is not what is driving the continuous circulation of ASF virus in this setting. To control ASF and reduce its impact, initiatives that stimulate changes in management are needed. Because the behaviour of all actors in the value chain is largely influenced by the deep rural poverty in the region, this needs to be combined with efforts to reduce rural poverty.

1 May 2010 in Transboundary and Emerging Diseases
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Journal Article
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MNM. Nöremark
M. Nöremark
JFJ. Frössling
J. Frössling
SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
On-farm biosecurity is important for preventing the spread of several contagious animal diseases. In this study, biosecurity routines among Swedish farmers with livestock (cattle, pigs, sheep or goats) were examined through questionnaires posted by mail. Moreover, the use of protective clothing among professionals visiting farms, such as animal transporters and veterinarians, were investigated through assessments made by the farmers. Questionnaires were completed, partly or fully, by 518 farmers (overall response rate 34%). Possible associations between biosecurity routines and livestock species, geographic location and herd size were analysed. Large variations in biosecurity routines were found, both within and between groups, and some farms appeared to have a relatively high level of biosecurity. However, <40% of the farmers reported that they provide protective clothing for visitors, and 50% of farmers buying live animals introduced these directly into the herd without prior isolation. In general, a higher level of biosecurity was reported by farmers with herds with only pigs, when compared to farmers with cattle, sheep/goats or mixed species. A higher level of biosecurity was also reported by larger farms compared to hobby farms. Inconsistent biosecurity routines were reported, which was interpreted as a lack of knowledge of how different infections can spread and how this can be prevented. Furthermore, some replies indicated that the farmers perceived the risk of introduction of disease as low. According to the farmers' assessments, the use of protective clothing among professionals visiting farms varied considerably, both among different professions and within the same profession. On average, veterinarians and artificial insemination (AI) technicians got high scores in this assessment, while salesmen, repairmen and animal transporters were reported to seldom use protective clothing. Based on the findings, there is room for improvement of on-farm biosecurity. There is also a need to further investigate the motivators and constraints for altered routines among both Swedish livestock farmers and professionals visiting farms.

5 February 2005 in Veterinary Record
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Journal Article
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SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
KEK. Eld
K. Eld
GBG. Bölske
G. Bölske
SOS‐L. Olsson
S‐L. Olsson
BRB. Röken
B. Röken
GKG. Källenius
G. Källenius
Between 2001 and 2003, there was an outbreak of tuberculosis in a Swedish zoo which involved elephants, giraffes, rhinoceroses and buffaloes. Cultures of trunk lavages were used to detect infected elephants, tuberculin testing was used in the giraffes and buffaloes, and tracheal lavage and tuberculin testing were used in the rhinoceroses. The bacteria isolated were investigated by spoligotyping and restriction fragment length polymorphism. Five elephants and one giraffe were found to have been infected by four different strains of Mycobacterium tuberculosis .

1 October 2019 in Virus Research
Verified
Journal Article
Open access
KSKarl Ståhl
Karl Ståhl
SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
SBSandra Blome
Sandra Blome
AVArvo Viltrop
Arvo Viltrop
Mary-Louise PenrithMary-Louise Penrith
Mary-Louise Penrith
ECERIKA CHENAIS
ERIKA CHENAIS
African swine fever (ASF) was first described in 1921 as a highly fatal and contagious disease which caused severe outbreaks among settlers' pigs in British East Africa. Since then the disease has expanded its geographical distribution and is currently present in large parts of Africa, Europe and Asia and considered a global threat. Although ASF is typically associated with very high case fatality rates, a certain proportion of infected animals will recover from the infection and survive. Early on it was speculated that such survivors may act as carriers of the virus, and the importance of such carries for disease persistence and spread has since then almost become an established truth. However, the scientific basis for such a role of carriers may be questioned. With this in mind, the objective of this study was to review the available literature in a systematic way and to evaluate the available scientific evidence. The selection of publications for the review was based on a database search, followed by a stepwise screening process in order to exclude duplicates and non-relevant publications based on pre-defined exclusion criteria. By this process the number of publications finally included was reduced from the 3664 hits identified in the initial database search to 39 publications, from which data was then extracted and analysed. Based on this it was clear that a definition of an ASF virus carrier is lacking, and that in general any survivor or seropositive animal has been referred to as carrier. It was also clear that evidence of any significant role of such a carrier is absent. Two types of "survivors" could be defined: 1) pigs that do not die but develop a persistent infection, characterised by periodic viraemia and often but not always accompanied by some signs of subacute to chronic disease, and 2) pigs which clear the infection independently of virulence of the virus, and which are not persistently infected and will not present with prolonged virus excretion. There is no evidence that suggests that any of these categories of survivors can be considered as "healthy" carriers, i.e. pigs that show no sign of disease but can transmit the virus to in-contact pigs. However, localized virus persistence in lymphoid tissues may occur to some extent in any of the categories of survivors, which in theory may cause infection after oral uptake. To what extent this is relevant in reality, however, can be questioned given the virus dose generally needed for oral infection.

1 September 2017 in Preventive Veterinary Medicine
Verified
Journal Article
Open access
ECERIKA CHENAIS
ERIKA CHENAIS
SBSofia Anna Boqvist
Sofia Anna Boqvist
UEUlf Emanuelson
Ulf Emanuelson
CBClaudia von Brömssen
Claudia von Brömssen
EOEmily Ouma
Emily Ouma
SSSusanna Sternberg-Lewerin
Susanna Sternberg-Lewerin
African swine fever (ASF) is one of the most important pig diseases, causing high case fatality rate and trade restrictions upon reported outbreaks. In Uganda, a low-income country with the largest pig population in East Africa, ASF is endemic. Animal disease impact is multidimensional and include social and economic impact along the value chain. In low-income settings, this impact keep people poor and push those that have managed to escape poverty back again. If the diseases can be controlled, their negative consequences can be mitigated. However, to successfully argue for investment in disease control, its cost-benefits need to be demonstrated. One part in the cost-benefit equations is disease impact quantification. The objective of this study was therefore to investigate the socio-economic impact of ASF outbreaks at household level in northern Uganda. In a longitudinal study, structured interviews with two hundred, randomly selected, pig-keeping households were undertaken three times with a six month interval. Questions related to family and pig herd demographics, pig trade and pig business. Associations between ASF outbreaks and economic and social impact variables were evaluated using linear regression models. The study showed that pigs were kept in extreme low-input-low-output farming systems involving only small monetary investments. Yearly incidence of ASF on household level was 19%. Increasing herd size was positively associated with higher economic output. The interaction between ASF outbreaks and the herd size showed that ASF outbreaks were negatively associated with economic output at the second interview occasion and with one out of two economic impact variables at the third interview occasion. No significant associations between the social impact variables included in the study and ASF outbreaks could be established. Trade and consumption of sick and dead pigs were coping strategies used to minimize losses of capital and animal protein. The results indicate that causality of social and economic impact of ASF outbreaks in smallholder systems is complex. Pigs are mostly kept as passive investments rather than active working capital, complicating economic analyses and further disqualifying disease control arguments based only on standard economic models.