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Dr. David Blehert:&nbsp; Thank you, Bill, for
the very nice introduction and thanks to Hannah

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Hamilton for inviting me and the USGS communications
group for arranging my visit.

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So today, I'm going to talk about bats and
new bat disease.&nbsp; Let's see if I can my slides

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to advance.&nbsp; Can everybody hear me OK?

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Audience:&nbsp; Yes.

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Dr. David Blehert:&nbsp; Let's see.&nbsp; Yeah.&nbsp;
The arrows.&nbsp; They should work.&nbsp; There we

00:00:27.290 --> 00:00:28.290
go.

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OK.&nbsp; So let me just begin by saying a little
bit about bats to get us all on the same page.&nbsp;

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Bats are the only mammals that are capable
of self-powered flights.&nbsp; Most are nocturnal.&nbsp;

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Perhaps these adaptations of being one of
the few animals that's out flying in the night

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sky when there's otherwise lack of aerial
predators has afforded this group of animals

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with the evolutionary opportunity to diverge
into a huge number of species.

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Bats are the second most species diverse group
of mammals on the planet.&nbsp; Only behind rodents.&nbsp;

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There are about 1,100 species of bats out
of a total 5,500 or so species of mammals.&nbsp;

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And just an amazing amount of adaptations,
if you look at this giant fruit bat on the

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screen here, this animal consumes ripe fruit.&nbsp;
This is nectar-feeding bat that can hover

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in front of cactus flowers and lap the nectar.

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Here's a bat that's got both white and black
fur.&nbsp; It's the spotted bat in the American

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Southwest.&nbsp; With his huge ears, I think this
animal is known to forge for insects on the

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ground and they can say that it can actually
hear their footsteps.

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And here we have a bulldog bat -- which actually
eats fish and it catches them right out of

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the water.

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So, to transition the topic of today's talk,
a disease bats, white-nose syndrome is a fungal

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disease.&nbsp; Of all the various pathogens or
disease agents that we know of, and I'm a

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microbiologist so I know of a lot of these,
even for microbiologist, fungi are not often

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the first that come to mind when talking about
disease.

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When it comes to disease of humans, there
are really only six major recognized groups

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or genre of fungi that cause disease and to
name them, maybe you've heard of some of them,

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includes the Yeast Candida and other fungi
Aspergillus, Histoplasma, Blastomyces, Coccidioides

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and Cryptococcus.&nbsp;&nbsp;

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But, that's six out of literally hundreds
of thousands of species.&nbsp; Despite fungal

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pathogens not necessarily being the first
thing that people think of when talking about

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disease, it's indisputable as I've outlined
on this slide here, that fungi have had major

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impacts on the world.So for example, fungal
diseases transformed landscapes by ravaging

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both American chestnut trees and elm trees,
all within the 20th century.&nbsp; The Irish potato

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famine caused by a fungal-like organism that's
now referred to as called Oomycete, caused

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the death and immigration of over 2 million
people.

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Fungi remain potent pathogens of plants, humans
and wildlife today, yet fewer than 10% of

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all fungal species are known to science.&nbsp;
There are limited antifungal therapeutic drugs

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available and they often have associated toxicity
because of terms of classes of animals, fungi

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are actually very closely related to people.&nbsp;
So when we target bacterial pathogens with

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antibiotics, we're targeting mechanisms of
replication for that microorganism that are

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distinctly different than those in our own
bodies.

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When it comes to treating a fungal pathogen,
there are also what are known as eukaryotes

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just like us.&nbsp; And so it becomes challenging
to kill the fungus without harming the host.&nbsp;

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There's no antifungal vaccines.&nbsp; And then
when it comes in particular to plants or animals,

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like wildlife, that don't have intrinsic or
obvious economic value, disease management

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can be very challenging.&nbsp;Another point
of interest is that fungal diseases in humans

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and other mammals are most commonly associated
with hosts that have compromised immune systems.&nbsp;

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So there's something else going on.&nbsp; Or,
in cases where that host was exposed to a

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huge dose of the organism. Say, through, fungal
diseases sometimes arise in military personnel

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doing training exercises where they're crawling
through soil with their faces close to the

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soil that's enriched with fungal spores of
certain disease agents.

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This graphic shows that with respect to human
health-- and likely driven changes in host's

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immune status-- caused by the emergence of
HIV, increased use of immunosuppressive medications

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like steroid treatments, other intensive care-based
therapies that have people in hospitals with

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in-blowing catheters that are providing a
conduit between the outside world and the

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inside of the body, incidents of systemic
fungal disease and people has been exponentially

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on the rise since about the 1950s.

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As I move along through this presentation,
and along these same lines, I hope to convey

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to you the unique world that hibernation plays
in white-nose syndrome as one of these predisposing

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factors to this novel of disease.So what
is White-nose Syndrome?

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It's an emerging fungal disease of bats and
it's a very interesting-- or maybe insidious

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would be a better word -- disease because
bats are specifically infected with this fungus

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when they hibernate; which, based on research
done in other hibernating mammals, is believed

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to be, it's known to be in these other mammals,
and we believed it to be in bats, to be a

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time of natural immunosuppression.&nbsp; So, there
is one of the potential predisposing factors.

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Furthermore, a large scale disease epidemic,
or we'd say epizootic when we're talking about

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mammals, a large scale epizootic among bats
like White-nose Syndrome is not only unprecedented

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among the bats that live in the United States,
but among all of the 1,100 plus species of

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bats and perhaps even among all mammalian
species around the world.

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A paper came out in the journal Science two
summers ago now in which the authors predicted

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a 99% chance for regional extinction of little
brown bats-- once the most numerous hibernating

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insect killer bats species in the Northeastern
United States -- within about the next 16

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years as a result of this disease.

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So do I think this is a feasible hypothesis?&nbsp;

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I would say that it actually is because unlike
other pathogens, say like a virus, that is

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not as autonomously replicating organism,
or something that's capable of survival on

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its own, most fungi are.&nbsp; Almost all fungi,
including those that are pathogenic, can also

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live a second type of life phase, whether
just existing as saprobes or decomposers of

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organic matter in soil.

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And so a fungus that's trying to compete with
all of these thousands and thousands of other

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species for very limited nutrients in soil,
if it has somehow gain the ability to infect

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the host, which in the case of a bat, maybe
we could just think of a hibernating container

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of fungus food. In that case, that fungus
gets a huge advantage over its counterparts

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in the soil and it gains the ability to replicate
and make more of itself, which is effectively

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the evolutionary goal of a microorganism.

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So, now if these fungi kill all the bats in
the cave, they just go back to a more quiet

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reserved lifestyle in the soil and it doesn't
mater that they drove their host to extinction.&nbsp;

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If a virus kills all of its hosts, the virus
goes with them.

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And so that's one of our concerns in that
fungi do have this unique ability compared

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to other pathogens.So let me talk about
a little bit about the known progression of

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this disease.

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The first evidence that we have a White-nose
Syndrome comes from a photograph that was

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taken by a recreational caver in early 2006.&nbsp;
The photo which has down, what would that

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be your right-hand corner of the screen, shows
a bat with this unusual white substance or

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growth of what we know now as fungus around
its nose.

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This photo wasn't actually made widely public
until the year 2008.&nbsp; What's interesting

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is this photograph was taken in a cave, in
east central New York, that is part of a complex

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of caves that includes a large tourist cave
that entertains about 250,000 human visitors

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each year.

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We've also since learned that the fungus that
causes White-nose Syndrome is surprisingly

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wide-spread on bats of Europe, where the bats
seemingly co-exist with it.&nbsp; In other words,

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we've never, although we've seen the fungus
on the bats, we've even seen that it can cause

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White-nose Syndrome in European bats, there's
no current or historical documentation of

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these unusual mortality events caused by the
disease in Europe.

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So, it leads to the plausible hypothesis that
this disease agent may have been introduced

00:09:09.390 --> 00:09:14.180
to the United States through tourism.&nbsp; And
that is not an unexpected scenario given the

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prominent role, and I'll talk more about this
later, that global travel and trade are known

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to play in the emergence of infectious diseases
worldwide.So the next winter, the disease

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was, let's say officially discovered, by a
biologist with the New York State Department

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of Environmental Conservation when they were
conducting routine bat hibernation survey

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counts for the endangered Indiana bats.&nbsp;
And by the time they were done doing their

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surveys, they had found bats with either suspicious
white growth on their bodies or dead bats

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on cave floors at five sites within two counties
encompassing about a 15-kilometer radius,

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near Albany, New York.

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The next winter, my laboratory, others at
the National Wildlife Health Center, our pathology

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team, our field investigation team, as well
as other diagnostic labs became significantly

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involved.&nbsp; So, in another words the people
from New York State, who discovered this the

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previous spring, had alerted us to this problem.

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We had some conference calls - we need to
figure out what's going on; we're going to

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be out looking for this; we're going to be
sending you bats, get ready, it's going to

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be ugly.

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And so, by the time the winter of 2007-2008
was over, we have now identified the disease

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of 33 sites extending to a circle with a radius
of 210 kilometers from that index site near

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Albany, New York.&nbsp; The disease now documented
in New York, Massachusetts, Vermont and Connecticut.

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The next winter, things got much worse with
the bats with the disease identified now in

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over a 100 sites extending into nine states
all the way down to the southwestern tip of

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Virginia, at a distance of over 900 kilometers
from the disease epicenter.

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And at this point, there's really no precedent
for studying or responding to a wildlife disease

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among what we can refer to as cryptic hibernating
animals like bats.&nbsp; Many of us, if we didn't

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for other reasons, know they were there, they're
just there, people don't know about them,

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they're doing our thing, we're doing our thing.&nbsp;
And there's surprisingly little known about

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their immune systems and their over-all biology.So
then the following winter, this will be what,

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three winters ago now, we worked with Canadian
Wildlife Health Authorities to confirm the

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disease at several sites in Quebec and Ontario,
showing now that as disease is moving westward

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across the country, there's effectively two
fronts for introduction into the mid-western

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states and on into the western states.

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At this time we also brought online some new,
more sensitive molecular tests that we can

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use to find DNA from the fungus which led
to these possible detections of the fungus

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on bats in Oklahoma and Missouri.&nbsp; Thankfully,
we've not been able to confirm these findings,

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the surveillance work that we do is opportunistic,
so we don't have people out all over the place

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testing every bat they can find.

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We have people that are doing surveys in caves
in this unobtrusive of a way as possible so

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as not to disturb the hibernating animals.&nbsp;
And if they see something suspicious or dead,

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that animal may be collected and sent to my
lab or other labs for analysis.

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And so, despite heightened surveillance activity,
we have not yet confirmed these sightings

00:12:41.220 --> 00:12:45.100
in Missouri and Oklahoma.

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So this takes us to last winter where we by
the end winter 2010-2011 had confirmed the

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disease out into 16 states including these
new states of Indiana, Kentucky, North Carolina

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and Tennessee.&nbsp; And now in four Canadian
provinces.Interestingly, we have not yet

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and this still holds true today, if I pull
up our current map, current as of last Friday,

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we have not yet seen the high unusual mortality
west of the Appalachian mountains.&nbsp; And that's

00:13:21.850 --> 00:13:23.710
an area that we're actively investigating.

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So the question is, we know that this fungus
establishes itself in environments, in the

00:13:29.700 --> 00:13:34.470
environment, and effectively can become amplified
overtime and the bats then become exposed

00:13:34.470 --> 00:13:40.510
to more of it earlier each hibernation season.&nbsp;
So is it just a matter of time and perhaps

00:13:40.510 --> 00:13:45.340
by the end of March and in the April, as the
bats are completing hibernation for this winter,

00:13:45.340 --> 00:13:51.390
we'll see things get much worse in these mid-western
states like Tennessee, Kentucky, Indiana,

00:13:51.390 --> 00:13:57.320
Ohio, etc., Or, are environmental conditions
different such that the disease never will

00:13:57.320 --> 00:14:00.030
become as severe west of the Appalachian mountains.

00:14:00.030 --> 00:14:07.110
So, that's perhaps one area of the hope but,
the jury is still out on that.

00:14:07.110 --> 00:14:13.280
In terms of the species affected, we've documented
what we in the lab would call clinical disease

00:14:13.280 --> 00:14:18.570
in six different species of bats that belong
to three different genre.&nbsp; When all of these

00:14:18.570 --> 00:14:23.190
bat species - the Little brown bat, the Big
brown bat, the Northern long-eared bat, the

00:14:23.190 --> 00:14:28.990
Eastern small-footed bat, the Tricolored bat,
which people have previously known as the

00:14:28.990 --> 00:14:34.000
Eastern Pipistrelle, and the Indiana bat,
which is an endangered species, all have in

00:14:34.000 --> 00:14:39.700
common, is that these bats all hibernate to
wait out the insect food shortage during the

00:14:39.700 --> 00:14:40.790
winter time.

00:14:40.790 --> 00:14:45.650
And so again, we’ll further discuss how
I believe hibernation predisposes these animals

00:14:45.650 --> 00:14:51.620
to infection by Geomyces destructans-- the
fungus.So with that, let's transition to

00:14:51.620 --> 00:14:54.590
a brief discussion of disease ecology.

00:14:54.590 --> 00:14:59.290
In order to understand emergence and subsequent
spread of the disease, we have to understand

00:14:59.290 --> 00:15:05.440
how susceptible hosts, pathogens, and environments,
come together in a way that promotes development

00:15:05.440 --> 00:15:10.480
of the disease.&nbsp; So, that can be: a stomach
virus outbreak among passengers that are closely

00:15:10.480 --> 00:15:15.320
housed together on a cruise ship, a cold that
passes through children at day care center,

00:15:15.320 --> 00:15:21.290
or a White-nose Syndrome outbreak among hibernating
bats in close proximity within an underground

00:15:21.290 --> 00:15:25.720
hibernation environment like a cave or a mine.

00:15:25.720 --> 00:15:35.720
So hopefully by now I've convinced you that
bats are the host for this disease.&nbsp; So,

00:15:35.720 --> 00:15:39.780
I'll talk more about the pathogen later.&nbsp;
But let's talk about this environment, the

00:15:39.780 --> 00:15:42.590
underground hibernation site.

00:15:42.590 --> 00:15:48.070
This is an old U.S. Geological Survey map
that show the locations of caves as red dots

00:15:48.070 --> 00:15:54.990
in the Eastern United States.&nbsp; And if we
overlay a map showing disease occurrence,

00:15:54.990 --> 00:16:00.310
the yellow counties on the map, you can see
that it exactly mirrors the cave locations.&nbsp;

00:16:00.310 --> 00:16:06.690
So, indicating that these caves provide that
environment that brings the susceptible hosts

00:16:06.690 --> 00:16:08.410
and the pathogen together.

00:16:08.410 --> 00:16:14.310
A similar analysis I believe was done when
West Nile Virus was moving westward across

00:16:14.310 --> 00:16:20.010
the country from its initial point of introduction
on the East Coast.&nbsp; And effectively if you

00:16:20.010 --> 00:16:25.340
could find a susceptible bird species like
a crow or a blue bird, a Blue Jay, near a

00:16:25.340 --> 00:16:30.280
water source that harbored mosquitoes that
harbored the West Nile Virus pathogen, that

00:16:30.280 --> 00:16:36.490
was your key for early detection of West Nile
Virus in your state as the disease march westward.

00:16:36.490 --> 00:16:40.670
So to complete this discussion of the disease
triad, we've covered the host, we've covered

00:16:40.670 --> 00:16:47.710
the environment: the cool underground dark
cave. Let's transition to the pathogen aspects

00:16:47.710 --> 00:16:54.320
of the disease.So as I mentioned before,
my laboratory and others began to investigate

00:16:54.320 --> 00:17:01.150
this outbreak in earnest in early 2008, after
we were contacted by the state biologists

00:17:01.150 --> 00:17:07.539
in New York.&nbsp; Because of a clinical presentation
of this disease, this white stuff around their

00:17:07.539 --> 00:17:12.290
faces, we suspected a fungal disease agent.

00:17:12.290 --> 00:17:16.929
But our early disease investigation efforts
were complicated in that this white material

00:17:16.929 --> 00:17:20.560
that I show you on the bats' muzzles -- and
it is elsewhere on their bodies too, especially

00:17:20.560 --> 00:17:26.959
their wings-- is very fragile.&nbsp; And if these
bats are removed from caves it would disappear.&nbsp;

00:17:26.959 --> 00:17:31.960
So, by time the bat was shipped to our bio-safe,
bio-secure laboratory in Madison from the

00:17:31.960 --> 00:17:36.340
East Coast, they didn't look like anything
was wrong with them, except for they were

00:17:36.340 --> 00:17:39.640
dead.

00:17:39.640 --> 00:17:44.570
So an early breakthrough in the investigation
came when a persistent New York state pathologist,

00:17:44.570 --> 00:17:48.960
Dr. Melissa Behr, who, to our good fortune,
subsequently transferred to the Wisconsin

00:17:48.960 --> 00:17:53.649
Veterinary Diagnostic Lab, and we're continuing&nbsp;to
work with Melissa, was also troubled by that

00:17:53.649 --> 00:17:54.850
observation.

00:17:54.850 --> 00:18:01.309
She's getting bats from a mine that was probably
within 10 miles of her lab in Albany and didn't

00:18:01.309 --> 00:18:05.649
look like there's anything wrong with it.&nbsp;
So, Melissa went in to one of these caves

00:18:05.649 --> 00:18:11.330
and she collected samples from bats right
on the cave wall of this white material and

00:18:11.330 --> 00:18:17.940
prepared them for both electron-microscopy
and simple light-microscopy using a blue stain.

00:18:17.940 --> 00:18:23.499
And what she saw when she scraped this white
material on to her microscope preparations

00:18:23.499 --> 00:18:31.129
was a pure culture of this unusual fungus
with these hook spores that are actually a

00:18:31.129 --> 00:18:36.320
spore morphology that never had before been
seen.

00:18:36.320 --> 00:18:42.850
So, in the meantime at my lab, we were culturing
skin samples from the hundreds of bats that

00:18:42.850 --> 00:18:49.749
we're receiving.&nbsp; And if you take an animal
that lives in a cold, dark cave and culture

00:18:49.749 --> 00:18:53.639
its skin, you can imagine that it's just covered
with fungi.&nbsp; I mean, people probably have

00:18:53.639 --> 00:18:57.830
been in a musty basement -- and musty cave
is the same way-- and that musty snow comes

00:18:57.830 --> 00:19:02.870
from all of the fungi that are present.&nbsp;
And so how do you figure out which one of

00:19:02.870 --> 00:19:08.000
those things growing on that bats is what's
causing your problem.&nbsp;&nbsp;Well, one of our

00:19:08.000 --> 00:19:13.000
breakthroughs and other people were doing
this as well, was we had to ask the question:

00:19:13.000 --> 00:19:17.590
What do we need to do in the lab to grow something
that's colonizing the skin of a hibernating

00:19:17.590 --> 00:19:23.130
bat?&nbsp; And the skin of a hibernating is about
the temperature of the inside of your refrigerator.

00:19:23.130 --> 00:19:28.080
And typically, when your doing microbiology
work, you incubate your cultures at the temperature

00:19:28.080 --> 00:19:32.840
of the human body, like 98.6 degrees, or maybe
at room temperature.&nbsp; Well, it turns out

00:19:32.840 --> 00:19:38.289
that for this fungus room temperature is too
warm.&nbsp; Its upper cutoff for growth is around

00:19:38.289 --> 00:19:44.570
65-66 degrees Fahrenheit, around below 20
degrees Centigrade.

00:19:44.570 --> 00:19:49.629
So, my technician in the lab had put some
of these skin samples on petri plates and

00:19:49.629 --> 00:19:53.970
stuck it in a laboratory refrigerator.&nbsp; And
very slowly, this white fungus started to

00:19:53.970 --> 00:19:58.139
grow on those plates.&nbsp; And at about the time
that Melissa circulated her photographs of

00:19:58.139 --> 00:20:04.820
the white scraping right off the bats, our
cultures were starting to grow and we stuck

00:20:04.820 --> 00:20:11.940
them under microscope and compared them to
Melissa's photos and found the same fungus.

00:20:11.940 --> 00:20:18.179
And so, the question is: What is it?

00:20:18.179 --> 00:20:24.369
It requires cold for growth, and the temperatures
at which it grows unfortunately overlap perfectly

00:20:24.369 --> 00:20:29.160
with the skin and core body temperatures of
hibernating bats.&nbsp; The fungus cannot actively

00:20:29.160 --> 00:20:33.620
grow at warm temperatures, even the temperature
of this room, as I mentioned, would be too

00:20:33.620 --> 00:20:40.889
warm for it, but that doesn't mean it would
die.&nbsp; And so there is a concern about not

00:20:40.889 --> 00:20:43.749
accidentally transporting it somewhere.

00:20:43.749 --> 00:20:49.779
The fungus is common on sick bats but absent
from healthy bats and all of the isolates

00:20:49.779 --> 00:20:54.929
that we have subsequently characterized within
some common genetic marker regions from both

00:20:54.929 --> 00:20:59.659
North America and now from Europe as well,
are genetically identical.&nbsp; So when you put

00:20:59.659 --> 00:21:04.799
this genetic relatedness together with this
radiating pattern of disease spread from a

00:21:04.799 --> 00:21:10.070
single index site, suggest that, -- all this
circumstantial evidences is suggestive, of

00:21:10.070 --> 00:21:16.539
a single point introduction and subsequent
spread of an introduced pathogen.So based

00:21:16.539 --> 00:21:21.720
on DNA sequence analysis of some of these
marker genes, we were able to determine that

00:21:21.720 --> 00:21:27.799
this fungus belong to a genus of common soil
fungi called Geomyces, which means fungus

00:21:27.799 --> 00:21:33.919
of the earth.&nbsp; But based on some of these
other characteristics, its ability to infect

00:21:33.919 --> 00:21:41.710
bats, its curved spore shape, and its requirement
for growth in cold, we identified it and named

00:21:41.710 --> 00:21:49.610
is as a new species which we designated destructans,
so the destroying Geomyces.

00:21:49.610 --> 00:21:54.100
Some work that we've recently completed and
published was demonstration according to strict

00:21:54.100 --> 00:22:01.009
criteria in microbiology known as Koch's Postulates,
developed by a preeminent microbiology pioneer,

00:22:01.009 --> 00:22:08.630
Robert Koch, in the late 1800s, that definitively
demonstrate the Geomyces destructans in the

00:22:08.630 --> 00:22:13.639
absence of other contributing factors is the
pathogen that causes this disease.

00:22:13.639 --> 00:22:17.929
And so in order to fill Koch's Postulates,
first you have to demonstrate that the microorganism

00:22:17.929 --> 00:22:23.029
is found in abundance on all organisms or
all animals suffering from the disease, but

00:22:23.029 --> 00:22:27.940
absent from healthy animals.&nbsp; And we accomplished
that through our disease investigation work.

00:22:27.940 --> 00:22:31.440
Oops!&nbsp; I jumped one ahead.

00:22:31.440 --> 00:22:37.919
The microorganism must then be isolated from
the sick animal and grown in pure culture

00:22:37.919 --> 00:22:43.169
in the laboratory.&nbsp; And so again we accomplish
that through our disease investigation work.

00:22:43.169 --> 00:22:50.970
The cultured microorganism should cause disease
when introduce into a healthy animal and then

00:22:50.970 --> 00:22:57.450
subsequently, you have to be able to re-isolate
the introduced pathogen from the healthy animal.&nbsp;

00:22:57.450 --> 00:23:02.320
And so in order to do this, our first challenge
was to develop a system whereby we could successfully

00:23:02.320 --> 00:23:11.740
maintain wild hibernating bats in our laboratory.&nbsp;
And so having achieved that, we were then

00:23:11.740 --> 00:23:18.691
able to conduct the experiment. &nbsp;&nbsp;So,
what I'm showing you on this slide, these

00:23:18.691 --> 00:23:25.169
two images are called histopathology, which
allows us to see how the fungus interacts

00:23:25.169 --> 00:23:31.230
with tissues from the animal.&nbsp; And so what
we're looking at here are cross-sections of

00:23:31.230 --> 00:23:37.059
bat wing skin and the stuff in dark purple
is fungus.

00:23:37.059 --> 00:23:44.230
If you think this is-- if you recognize this
is bat-- and dark color is bad, you're getting

00:23:44.230 --> 00:23:48.601
to see the picture. What this fungus does
is it forms these dense aggregations in a

00:23:48.601 --> 00:23:54.929
way that we haven't seen with other fungal
skin pathogens of bats.&nbsp; And it invades and

00:23:54.929 --> 00:23:59.950
destroys wing tissue, as well as tissue of
the muzzle and elsewhere.

00:23:59.950 --> 00:24:06.629
And so based on this measure, we were able
to demonstrate that by putting predetermined

00:24:06.629 --> 00:24:10.860
numbers of spores from this fungus on the
skin of hibernating bats that we were able

00:24:10.860 --> 00:24:18.480
to cause the disease in 100% of animals that
we treated.&nbsp; We are also able to transmit

00:24:18.480 --> 00:24:23.820
the disease from bat to bat by co-housing
sick with healthy bats.

00:24:23.820 --> 00:24:30.360
Interestingly, when we had bats in separate
cages -- hibernating bats in separate cages

00:24:30.360 --> 00:24:36.639
within our incubators-- we did not transmit
the fungal agent between bats by air.&nbsp; It

00:24:36.639 --> 00:24:41.419
is an interesting result, but one of my concerns
is that I think that this might stem from

00:24:41.419 --> 00:24:43.600
the way in which the experiment was done.

00:24:43.600 --> 00:24:50.200
The bats are kept in mesh cages and the mesh
can obstruct the free movement of spores between

00:24:50.200 --> 00:24:57.450
cages, as well as, unlike a cave, these incubators
are constantly moving air from within the

00:24:57.450 --> 00:25:02.419
incubator over the evaporator or chiller coil
and recirculating it back through, so it's

00:25:02.419 --> 00:25:07.830
possible that we effectively vacuumed spores
out of the air of the system as it works.

00:25:07.830 --> 00:25:14.010
And so this still remains an active area of
research.&nbsp;Having achieved this objective

00:25:14.010 --> 00:25:20.749
of demonstrating causality, which is important,
because now we truly can focus disease investigation

00:25:20.749 --> 00:25:26.549
efforts, as well as disease management efforts
around a single pathogen, and all of those

00:25:26.549 --> 00:25:30.299
various implications for control and management
strategies.

00:25:30.299 --> 00:25:34.100
Another important thing that comes out of
this system is our model system for maintaining

00:25:34.100 --> 00:25:38.519
hibernating bats in the laboratory.&nbsp; And
this can be used for additional purposes such

00:25:38.519 --> 00:25:44.519
as consideration for long term maintenance
or holding of captive colonies of endangered

00:25:44.519 --> 00:25:49.210
bat species to protect them from this disease
to which they might be exposed in the wild

00:25:49.210 --> 00:25:51.799
until better management solutions are developed.

00:25:51.799 --> 00:25:59.130
We can also use this system to conduct experiments
to further understand how this fungus kills

00:25:59.130 --> 00:26:04.269
bats.&nbsp; And as we develop a better understanding
of how the fungus works and why it's a pathogen,

00:26:04.269 --> 00:26:08.289
we can then look for additional ways in which
we could intervene and break this disease

00:26:08.289 --> 00:26:09.730
cycle.

00:26:09.730 --> 00:26:14.909
Also, this system could serve as a way for
testing different treatment or management

00:26:14.909 --> 00:26:20.190
strategies in captivity so that we can test
it in the laboratory on living bats first,

00:26:20.190 --> 00:26:27.539
before we introduce it into national systems
in the wild and thus avoid unintended adverse

00:26:27.539 --> 00:26:28.539
consequences.

00:26:28.539 --> 00:26:34.249
So it's still leads to the question as to
why would a skin infection like White-nose

00:26:34.249 --> 00:26:36.870
Syndrome be so deadly to bats.

00:26:36.870 --> 00:26:44.169
We get athlete's foot infection, fungal infection
of our feet.&nbsp; Other animals are susceptible

00:26:44.169 --> 00:26:48.820
to numerous fungi that for whatever reason
fall in to a category where they call the

00:26:48.820 --> 00:26:52.840
infection ringworm.&nbsp; It's not actually caused
by a worm, it's caused by a fungus.&nbsp; But

00:26:52.840 --> 00:26:58.330
it basically just creates an itchy red spot
on your skin somewhere.&nbsp; You don't die from

00:26:58.330 --> 00:26:59.330
it.

00:26:59.330 --> 00:27:04.909
All of those other fungal infections are called,
those fungi are called dermatophytes.&nbsp; And

00:27:04.909 --> 00:27:13.049
those fungi colonize the layer of dead skin
cells on the surface of our skin.Geomyces

00:27:13.049 --> 00:27:18.820
destructans in White-nose Syndrome is different
in that that fungus actually actively invades

00:27:18.820 --> 00:27:26.440
the skin of bats.&nbsp; And it penetrates through
that epidermal layer and destroys the epidermis,

00:27:26.440 --> 00:27:32.889
connective tissues, blood vessels, muscles,
nerve fibers, oil glands, sweat glands -- everything

00:27:32.889 --> 00:27:36.020
that it encounters.

00:27:36.020 --> 00:27:40.210
Despite the name of the disease, White-nose
Syndrome, perhaps the greatest damage that

00:27:40.210 --> 00:27:45.379
it causes to the bats is to their wings.&nbsp;
And these wings are critical to bats not only

00:27:45.379 --> 00:27:50.749
for them to be able to fly, but they also
perform numerous other physiological functions

00:27:50.749 --> 00:27:57.700
shown here, including: heat dissipation, water
control; so an intact wing membrane is necessary

00:27:57.700 --> 00:28:02.350
so the bats don't lose water while they're
hibernating and otherwise unable to eat or

00:28:02.350 --> 00:28:03.350
drink.

00:28:03.350 --> 00:28:07.210
These wings actually allow the bat, these
large wings, which the skin of the wings accounts

00:28:07.210 --> 00:28:12.299
for eight times more skin than on the entire
rest of the body of the animal, also passively

00:28:12.299 --> 00:28:15.950
exchange gases while they're hibernating.&nbsp;
When they're hibernating they're only breathing

00:28:15.950 --> 00:28:22.690
a couple times a minute.&nbsp; And even with their
wings folded in on their bodies it's been

00:28:22.690 --> 00:28:28.129
shown that 10% of their CO2 exchange occurs
through theses folded wings membranes.

00:28:28.129 --> 00:28:32.090
Also, remember theses animals are spending
like six months of their lives hanging upside

00:28:32.090 --> 00:28:40.820
down.&nbsp; These wings actually have special
shunts in the blood vessels that help move

00:28:40.820 --> 00:28:45.100
blood around and function in blood pressure
regulation.

00:28:45.100 --> 00:28:50.649
So numerous critical physiological functions
all of which are being disrupted by this fungus.

00:28:50.649 --> 00:28:59.139
&nbsp;&nbsp;Let me tell you a little bit about another
project that we did.&nbsp; Fungal diseases tend

00:28:59.139 --> 00:29:03.929
to have environmental reservoirs which presents
an additional challenge for managing the disease

00:29:03.929 --> 00:29:08.460
in the wild.&nbsp; Even if you could cure the
disease in the infected animals, if they return

00:29:08.460 --> 00:29:13.940
to their infested hibernation site the next
year they'll just become re-infected.&nbsp; So

00:29:13.940 --> 00:29:17.769
anything that doesn't give them life-long
immunity and there are questions about whether

00:29:17.769 --> 00:29:25.309
that's even possible in a hibernating mammal,
the animals potentially subject to reinfection.

00:29:25.309 --> 00:29:35.679
And so, we developed the study where we partnered
with biologists as well as recreational cavers

00:29:35.679 --> 00:29:41.649
from across the eastern United States. And
we were able to collect over 550 soil samples

00:29:41.649 --> 00:29:47.100
from over 120 caves on states bordering on
in East of the Mississippi River.

00:29:47.100 --> 00:29:52.470
And the goal was to screen these soil samples
for presence of the fungus. And first our

00:29:52.470 --> 00:29:56.910
question at this time, not yet knowing whether
the fungus was causing the disease, was to

00:29:56.910 --> 00:30:01.669
just ask the basic question: Is this fungus
ubiquitous in all of our sites, and the disease

00:30:01.669 --> 00:30:06.889
is only occurring in the northeast for some
other reason?&nbsp;&nbsp; Or is that fungus only restricted

00:30:06.889 --> 00:30:10.240
to areas where we find sick bats?

00:30:10.240 --> 00:30:16.139
And so, first thing we accomplished through
this work was we were able to culture the

00:30:16.139 --> 00:30:21.429
viable fungus from samples with hibernating
bats.&nbsp; And what I'm showing here is just

00:30:21.429 --> 00:30:26.059
a preliminary work.&nbsp; We're continuing to
work with these samples, but this is the first

00:30:26.059 --> 00:30:28.049
bit that we were able to complete.

00:30:28.049 --> 00:30:35.730
So these stars show sites from at that time
we were able to both grow the fungus and find

00:30:35.730 --> 00:30:42.009
its DNA in the soil.&nbsp; We're actually able
to find viable fungus in as little as 0.2

00:30:42.009 --> 00:30:47.399
grams of soil and so you can see next to a
dime that's a very small amount of fungus.

00:30:47.399 --> 00:30:52.070
And if I draw your attention to the picture
down here, most likely, we're growing the

00:30:52.070 --> 00:30:57.340
fungus out of soil as a result of these numerous
spores, these are its reproductive structures.&nbsp;

00:30:57.340 --> 00:31:03.159
These are environmentally resistant structures
that the fungus produces to satisfy its one

00:31:03.159 --> 00:31:08.100
goal in life again, which is to make more
of itself.&nbsp; And so our ability to find it

00:31:08.100 --> 00:31:12.859
viable in soil highlights the need that people
be very careful -- that if they're going to

00:31:12.859 --> 00:31:18.059
a site that they don't accidentally pick up
the fungus, and as a hitchhiker bring it to

00:31:18.059 --> 00:31:25.239
the next cave that they visit.&nbsp;&nbsp;As our
infectivity work showed the bats do transmit

00:31:25.239 --> 00:31:30.899
the fungus between themselves as they interact,
but this work strongly infers that humans

00:31:30.899 --> 00:31:36.429
could also be mechanical vectors or transporters
of the fungus.&nbsp; And so we want to do all

00:31:36.429 --> 00:31:40.389
that we can so that we don't also contribute
and make this problem worse.

00:31:40.389 --> 00:31:44.779
So one of our other interesting findings is
that if you want to screen a lot of samples,

00:31:44.779 --> 00:31:49.660
using a labor intensive culture method, is
probably not a viable approach.&nbsp; And so we've

00:31:49.660 --> 00:31:53.769
developed a molecular diagnostic to detect
the fungus in soil.

00:31:53.769 --> 00:32:00.059
And we tested that on the skin of bats which
do have a lot of fungi on them but fewer varieties

00:32:00.059 --> 00:32:06.580
of fungi than you would find in soil.&nbsp; And
when we started applying our PCR test to soil

00:32:06.580 --> 00:32:12.330
samples, we were finding what we later identified
as cross-reactivity with practically every

00:32:12.330 --> 00:32:15.210
sample that we analyzed.

00:32:15.210 --> 00:32:20.940
And so, as an example, these are what some
of the other unknown Geomyces species present

00:32:20.940 --> 00:32:30.499
in soil from bat caves look like.&nbsp;&nbsp;So
the real challenge here is that, on this map,

00:32:30.499 --> 00:32:38.729
out of just an initial subset of 24 soil samples,
we potentially have identified up to 11 new

00:32:38.729 --> 00:32:45.420
species of Geomyces.&nbsp; And all of these are
very very closely related to Geomyces destructans

00:32:45.420 --> 00:32:50.600
within the mark of genes that we've characterized.&nbsp;
So if you look at this little spot -- When

00:32:50.600 --> 00:32:54.710
you look at this “filegrams,” they’re
called, the closer things are to one another,

00:32:54.710 --> 00:32:56.369
that the more closely they're related.

00:32:56.369 --> 00:33:03.100
These distances have to do with genetic changes.&nbsp;
So this Clade 10, Clade 11, Clade 12&nbsp;are

00:33:03.100 --> 00:33:07.720
relatively distant from Clade 1, which is
Geomyces destructans.&nbsp; Clade 2, the little

00:33:07.720 --> 00:33:14.840
spot on the line here, only differs from Clade
1 at four nucleotide positions, out of 624

00:33:14.840 --> 00:33:17.710
that we looked at to develop this chart.

00:33:17.710 --> 00:33:22.519
And so, at this point, we're really only scratching
a surface of what could very well be one of

00:33:22.519 --> 00:33:29.409
the most common groups of fungal organisms
in cave soil, this cold damp environment.&nbsp;

00:33:29.409 --> 00:33:35.190
And that leads to another important question:
What is so special about Geomyces destructans--

00:33:35.190 --> 00:33:40.590
that it's pathogenic to bats whereas all of
these other fungi that presumably bats have

00:33:40.590 --> 00:33:46.710
co-existed with for millions of years, do
not cause this disease.

00:33:46.710 --> 00:33:51.389
We're actually doing some work, some comparative
genomic analysis work, and maybe that will

00:33:51.389 --> 00:33:56.889
help us to begin to identify virilants determinants
in Geomyces desrtuctans.

00:33:56.889 --> 00:34:00.479
This slide just shows what some of these guys
look like when we grow them on petri plates.&nbsp;

00:34:00.479 --> 00:34:06.480
Here is our type isolate of Geomyces destructans,
here's an isolate Geomyces destructans cultured

00:34:06.480 --> 00:34:11.280
directly out of cave soil.&nbsp; Here are some
of the relatives and you can see they're kind

00:34:11.280 --> 00:34:12.369
of similar looking.

00:34:12.369 --> 00:34:17.099
But interestingly this one that looks like
shag carpeting, genetically, is the most closely

00:34:17.099 --> 00:34:22.740
related fungus to this one.&nbsp; So it's also
interesting how these visual or phenotypic

00:34:22.740 --> 00:34:28.970
traits don't seem to necessarily correspond
to genetic relatedness or differences.

00:34:28.970 --> 00:34:34.740
And here's a point; I have touched on this
already, but a question that frequently arises

00:34:34.740 --> 00:34:39.200
is: Where did Geomyces destructans come from
and why did White-nose Syndrome emerge in

00:34:39.200 --> 00:34:46.169
North America in 2006-2007, approximately?&nbsp;
So we don't yet have a definitive answer to

00:34:46.169 --> 00:34:51.039
this question.&nbsp; But there's anecdotal references
in scientific literature to bats with white

00:34:51.039 --> 00:34:55.129
fungus on their muzzles in Germany, dating
back to the early 1980s.

00:34:55.129 --> 00:35:01.190
And recent surveillance work in Europe has
indicated that this fungus, Geomyces destructans,

00:35:01.190 --> 00:35:06.710
genetically and morphologically indistinguishable
for isolates in the United States is widespread

00:35:06.710 --> 00:35:11.359
as shown in this map, in at least bats in
at least 12 countries.

00:35:11.359 --> 00:35:16.309
But as I mentioned previously again, these
unusual mortality events, associated with

00:35:16.309 --> 00:35:21.880
infection in the United States, have not yet
been observed in Europe.&nbsp; We don't yet have

00:35:21.880 --> 00:35:26.890
an answer for that, but it may stem from differences
in environmental conditions that we hope to

00:35:26.890 --> 00:35:31.510
better characterized, as well as differences
in population levels.In the northeastern

00:35:31.510 --> 00:35:37.880
United States, there used to be many very
large aggregations of these bats; thousands,

00:35:37.880 --> 00:35:42.930
tens of thousands, even hundred of thousands.&nbsp;
So if you imagine you get a fungus into a

00:35:42.930 --> 00:35:48.490
colony of 10,000 bats and each of those bats
serves an amplifying host for the fungus,

00:35:48.490 --> 00:35:53.050
within a very short period of time, one or
two years, there's great potential for that

00:35:53.050 --> 00:35:58.070
fungus to make a lot of itself-- remember
it's goal in life-- and infect a lot of bats

00:35:58.070 --> 00:36:01.799
heavily and early in hibernation and cause
heavy mortality.

00:36:01.799 --> 00:36:07.400
In Europe, as far as people have recorded
back, the bat populations tend to be very

00:36:07.400 --> 00:36:14.329
much smaller - 10 bats, 30 bats, in some instances
100 bats. And in a couple rare instances,

00:36:14.329 --> 00:36:21.180
thousands.&nbsp; But among these smaller populations,
there's fewer animals-- potentially less chance

00:36:21.180 --> 00:36:27.130
for fungal amplification, less chance for
bat-to-bat interaction and spread lower fungal

00:36:27.130 --> 00:36:32.330
burdens in the environment, lower infectious
doses; and, whereas these bats get colonized,

00:36:32.330 --> 00:36:35.569
perhaps the disease just doesn't progress
to the point where it kills them.

00:36:35.569 --> 00:36:40.670
People have, most recently, even documented
these lesions that we see on the skin of North

00:36:40.670 --> 00:36:46.380
American bats that we considered diagnostic
for the disease in European bats.&nbsp; But again,

00:36:46.380 --> 00:36:48.150
they're not dying.

00:36:48.150 --> 00:36:52.109
Some other work that we've done is showing
that if you remove a bat from hibernation

00:36:52.109 --> 00:36:57.030
or take a bat that's not yet dead from the
disease and just provide it with a warm environment

00:36:57.030 --> 00:37:02.890
and food and water, they'll make a full recovery,
actually remarkably quickly.&nbsp; They have full

00:37:02.890 --> 00:37:07.400
capacity to regenerate the skin of their wings
and microscopically, it looks like there was

00:37:07.400 --> 00:37:10.270
never anything wrong with it.

00:37:10.270 --> 00:37:14.960
And I think a lot of that just has to do with
turning back on their physiology, their immune

00:37:14.960 --> 00:37:20.660
system and they can mount a recovery.&nbsp; And
so effectively in Europe maybe things just

00:37:20.660 --> 00:37:24.240
never progressed to the degree that we see
them in the United States.&nbsp; But again, an

00:37:24.240 --> 00:37:29.420
active area of research.But still does lead
to that question of: Wow did the disease get

00:37:29.420 --> 00:37:30.420
here?

00:37:30.420 --> 00:37:35.270
So this slide depicts civilian global aviation
networks among the 500 largest international

00:37:35.270 --> 00:37:42.650
airports in 100 countries, most intense air
traffic shown in yellow.&nbsp; And what this slide

00:37:42.650 --> 00:37:48.119
shows is that: we humans, have succeeded widely
in breaching historic barriers to the spread

00:37:48.119 --> 00:37:53.410
of infectious diseases around the world, namely
oceans and mountain ranges. And given our

00:37:53.410 --> 00:37:57.980
incredible capacity for mobility, there's
almost no place where we and our hitchhiking

00:37:57.980 --> 00:38:02.570
pathogens cannot be on this planet, within
just a matter of days --if we set our mind

00:38:02.570 --> 00:38:03.570
to it.

00:38:03.570 --> 00:38:08.410
And indeed, global travel and trade are widely
recognized as the most significant drivers

00:38:08.410 --> 00:38:14.539
in global spread of infectious diseases.

00:38:14.539 --> 00:38:20.220
So at this point I'll start to sum up. This
next series slides were developed with a colleague

00:38:20.220 --> 00:38:26.349
from USDA Wildlife Services, Tom DeLiberto,
who's a wildlife disease specialist with that

00:38:26.349 --> 00:38:32.309
agency.&nbsp; When we think of White-nose syndrome,
it's not an ordinary disease.&nbsp; Few diseases

00:38:32.309 --> 00:38:37.760
have affected as many species, over such a
large geographic area, in such a short period

00:38:37.760 --> 00:38:42.150
of time, with as much impact on populations.

00:38:42.150 --> 00:38:47.170
Confounding factors contributing to the severity
of White-nose Syndrome likely include: high

00:38:47.170 --> 00:38:52.289
density clusters of susceptible individual
animals during hibernation, the time to which

00:38:52.289 --> 00:39:00.170
they're uniquely susceptible to this disease,
both high infection and mortality rates, transmission

00:39:00.170 --> 00:39:06.710
between bats and the environment, and likely
the other direction as well, and environmental

00:39:06.710 --> 00:39:07.760
persistence.&nbsp;&nbsp;

00:39:07.760 --> 00:39:12.359
Even though these animals are hibernating,
they on somewhat regular intervals, like every

00:39:12.359 --> 00:39:17.251
two weeks or so, they do arouse out of hibernation,
briefly, for maybe an hour at a time, get

00:39:17.251 --> 00:39:23.600
a drink of water, urinate, various things.
I would just say go to the bathroom, but I

00:39:23.600 --> 00:39:28.109
don't think there are bathrooms in these caves.&nbsp;
So, even though they're hibernating, there

00:39:28.109 --> 00:39:32.810
are frequent movements of individuals both
within their clusters, among clusters. And

00:39:32.810 --> 00:39:36.900
these animals, even though they're not officially
recognized as migratory, they are known to

00:39:36.900 --> 00:39:41.200
move distances between summer and fall of
up to 200 miles.

00:39:41.200 --> 00:39:47.010
And so also the tendency for these, or the
potential ability, for these animals to spread

00:39:47.010 --> 00:39:53.580
viable spores of this agent over relatively
large distances.&nbsp; And then couple that with:

00:39:53.580 --> 00:39:58.369
These animals have a very low and natural
reproductive rate.&nbsp; These are not flying

00:39:58.369 --> 00:40:07.289
mice or flying rodents that have many, many
babies.&nbsp; Bats exhibit very high degree of

00:40:07.289 --> 00:40:14.539
care for their young and an insectivorous
bat, on average, has one pup per year.

00:40:14.539 --> 00:40:23.289
And so the potential for these species to
recover is a long-term problem.These animals

00:40:23.289 --> 00:40:29.109
are important even though we may not even
see them.&nbsp; A bat can eat its body rate in

00:40:29.109 --> 00:40:34.440
insects each night.&nbsp; Insects consumed by
bats include those that cause vector-born

00:40:34.440 --> 00:40:40.720
disease, as well as those that impact crop
and forest health.

00:40:40.720 --> 00:40:46.110
A bat biologist at Boston University estimated
that for the millions of bats that have been

00:40:46.110 --> 00:40:51.809
estimated to die from White-nose Syndrome,
to date that numbers around 5 million, that

00:40:51.809 --> 00:40:57.510
would literally amount of to thousands of
tons of insects per year.&nbsp; And a recent modeling

00:40:57.510 --> 00:41:03.270
paper estimated that the pesticide, the free
pesticide, or ecosystem services provided

00:41:03.270 --> 00:41:08.940
by bats, and these a.) Don’t cause us any
money; and b.) Don’t involve any import

00:41:08.940 --> 00:41:14.609
of potentially toxic chemicals, are value
between $4 to $50 billion per year to the

00:41:14.609 --> 00:41:17.720
U.S. agricultural industry.

00:41:17.720 --> 00:41:23.440
So some final thoughts: Why don't we just
go out and treat these animals with antifungals?

00:41:23.440 --> 00:41:28.400
Unfortunately, there's no precedent for using
antifungals or any sort of pharmaceutical

00:41:28.400 --> 00:41:33.940
compound --short of a vaccine-- for treating
disease in free-ranging wildlife.&nbsp; Especially

00:41:33.940 --> 00:41:37.500
for a disease with an environmental reservoir,
where the animals are likely to pick it up

00:41:37.500 --> 00:41:41.010
again from the environments in which they
hibernate.

00:41:41.010 --> 00:41:45.200
So managing disease in these animals is very
different than strategies that we would use

00:41:45.200 --> 00:41:50.690
for our pets, for people, or for our farm
animals.&nbsp; As I said, this environmental reservoir,

00:41:50.690 --> 00:41:56.280
as well as a very sensitive and unique ecology
in every cave that these bats inhabit, presents

00:41:56.280 --> 00:41:57.280
unique challenges.

00:41:57.280 --> 00:42:02.390
And so what I think we're challenged with
is thinking outside the box to identify practical

00:42:02.390 --> 00:42:08.580
solutions that can benefit these animals,
that the population level, while first and

00:42:08.580 --> 00:42:12.460
foremost, not doing any harm to the populations.

00:42:12.460 --> 00:42:18.760
And so, I'll conclude here.&nbsp; This slide acknowledges
numerous people that have worked with me on

00:42:18.760 --> 00:42:25.480
this problem - graduate students, our pathologists
at the health center, technicians and people

00:42:25.480 --> 00:42:30.920
from numerous other institutions, as well
as our funding source, funding from U.S. Geological

00:42:30.920 --> 00:42:37.150
Survey, United States Fish and Wildlife Service,
Bat Conservation International, and others.

00:42:37.150 --> 00:42:41.180
And I'll just transition to this last slide
and be happy to take questions.&nbsp;


