Treatment solutions to cure Xylella fastidiosa diseased plants

This opinion addresses the question of the efficacy of current treatment solutions to cure Xylella fastidiosa diseased plants, and discusses the experimental treatments under evaluation by two research groups in Apulian olive orchards infected by strain CoDiRO (Complesso del Disseccamento Rapido dell'Olivo). The increasing problems from newly emerging vascular bacterial diseases and the limited success to cure plants from such infections have stimulated numerous studies on treatments with chemical and biological compounds. Under field conditions, various formulations of copper and zinc as spray or root drench are currently used while further options, for example the application of bioactive substances, are at an experimental stage. In Apulia, preliminary results from intensive treatments with such formulations, in combination with the use of good crop management practices, reported more vigorous new growth of diseased trees. However, results provided so far confirmed the continued presence of X. fastidiosa after the treatments under evaluation. This is in agreement with current knowledge that there are no means to cure plants from this bacterial disease, in the sense of eliminating the pathogen from plant tissues. The reported positive response of the treated olive trees is most probably due to the effect of micronutrients and other bioactive compounds that, together with soil cultivation and agronomical practices, improve the vigour of the plants and their resilience to stress caused by bacterial infections. Notwithstanding the preliminary status of these findings, the Panel acknowledged the potentially positive effects of such treatments in prolonging the productive phase of olive trees and their putative relevance for the management of olive orchards, particularly in the containment area where eradication of the pathogen is considered no longer possible. The Panel also concluded that long-term studies are needed to confirm that the reported positive effects on crop performance can be sustained over many years

Pest categorisation of Pseudocercospora pini-densiflorae

Following a request from the European Commission, the EFSA Plant Health (PLH) Panel performed a pest categorisation of Pseudocercospora pini-densiflorae, a well-defined and distinguishable fungal species of the family Mycosphaerellaceae. The regulated harmful organism is the anamorph Cercoseptoria pini-densiflorae (synonym Cercospora pini-densiflorae) with the corresponding teleomorph Mycosphaerella gibsonii. P. pini-densiflorae causes a needle blight of Pinus spp. also known as Cercospora blight of pines or Cercospora needle blight. P. pini-densiflorae is reported from sub-Saharan Africa, Central and South America, Asia and Oceania, but not from the EU. The pathogen is regulated in Council Directive 2000/29/EC (Annex IIAI) as a quarantine organism whose introduction into the EU is banned on plants (other than fruit and seeds) and wood of Pinus. The pest could enter the EU via plants for planting and other means (uncleaned seed, cut branches of pine trees, isolated bark, growing media accompanying plants, and mycorrhizal soil inocula). Hosts are widespread in the EU and favourable climatic conditions are present in Mediterranean countries. Pinus halepensis, Pinus nigra, Pinus pinea, Pinus pinaster and Pinus sylvestris are reported to be highly susceptible to the pathogen. The pest would be able to spread following establishment after introduction in the EU mainly on infected plants for planting. The pest introduction could have impacts in nurseries and young plantations. Cleaning seeds from needles and removing infected seedlings and pine litter from affected nurseries can reduce the risk of establishment in nurseries and of spread from nurseries to forests, especially given the limited scale of splash dispersal. The main knowledge gaps concern (i) the role of means of entry/spread other than plants for planting and (ii) the potential consequences in mature tree plantations and forests. The criteria assessed by the Panel for consideration as potential quarantine pest are met. For regulated nonquarantine pests, the criterion on the pest presence in the EU is not met

Pest categorisation of Ips cembrae

The Panel on Plant Health performed a pest categorisation of the large larch bark beetle, Ips cembrae (Heer) (Coleoptera: Curculionidae, Scolytinae), for the EU. I. cembrae is a well-defined and distinguishable species, native to Europe and recognised mainly as a pest of larch (Larix spp.) and occasionally of pine (Pinus spp.) and spruce (Picea spp.). It is distributed in 16 Member States of the EU and listed in Annex IIB of Council Directive 2000/29/EC. Protected zones are in place in Greece, Ireland and the United Kingdom (Northern Ireland and Isle of Man). Wood, wood products, bark and wood packaging material are considered as pathways for this pest, which is also able to disperse by flight. The insects normally establish on fallen or weakened trees but, when their populations are high, can also mass-attack healthy trees. The males produce aggregation pheromones that attract conspecifics of both sexes. The insects also inoculate pathogenic fungi to their hosts. There are one to two generations per year. Before establishing their broods, the young adults need to proceed to maturation feeding either within the bark of the tree where they developed or in 2–18 years old twigs. I. cembrae has been expanding its geographical range in Europe during the second half of the 20th century. Sanitary thinning or clear felling is the major control methods. Quarantine measures are implemented to prevent entry in the protected zones. All criteria for consideration as potential protected zone quarantine pest are met. The criteria for considering I. cembrae as a potential regulated non-quarantine pest are not met since plants for planting are not viewed as a major pathway

Susceptibility of Phoenix roebelenii to Xylella fastidiosa

Following a request from the European Commission, the EFSA Plant Health Panel analysed a dossier submitted by Costa Rica Authorities to reach a conclusion on the host status of Phoenix roebelenii for Xylella fastidiosa. The Panel wishes first to stress the difficulties faced in providing compelling evidence for the non-susceptibility status of any particular plant species. The Panel acknowledges that the listing of P. roebelenii as a host of X. fastidiosa rests on a single report from California. Because isolation of X. fastidiosa from some hosts can be difficult, the Panel considers that the failure to isolate X. fastidiosa from P. roebelenii cannot be used to totally discard the detection of X. fastidiosa by ELISA and PCR. The Panel concludes that the detection of X. fastidiosa by two independent techniques provides sufficient evidence, although not totally conclusive, for the listing of P. roebelenii as a X. fastidiosa host plant. Concerning the survey data provided in the Costa Rican dossier, the Panel wishes to stress that such surveys cannot demonstrate the non-host status but can only provide a probability bound, upper estimate of the proportion of infected plants in the field. In the present case, and assuming all survey parameters to be optimal, the 95% confidence incidence threshold obtained is 0.2%, leaving the possibility that close to 25,000 P. roebelenii plants could be infected but undetected in the country. Accepting a scenario of local, non-systemic infection of P. roebelenii by X. fastidiosa would further increase uncertainties. In addition, the absence of data on the vector infection pressure further affects the ability to derive meaningful information on the P. roebelenii host status from the survey data. Appropriately conducted mechanical and/or vector-mediated inoculation experiments are critical to reach a more solid conclusion on the X. fastidiosa host status of P. roebelenii

Pest risk assessment of Radopholus similis for the EU territory

The Panel on Plant Health performed a pest risk assessment on Radopholus similis, the burrowing nematode for the EU. The quantitative assessment focused on entry, establishment, spread and impact on tropical and subtropical ornamental host plants, the main pathways for entry of R. similis into the EU. Infested consignments are expected to enter the risk assessment area on ornamentals under all scenarios. For citrus, which is a closed pathway for entry, outdoor establishment was assessed. Establishment may only take place after successful transfer from ornamental plants to citrus production systems. This event is called ‘shift’ in this assessment, to indicate that this is an unusual transfer. It has been estimated that establishment of this nematode in the open field in the EU citrus production areas under current temperatures is possible in most parts of the citrus production area in the EU. Temperature conditions will prevent the nematode from establishing only in the northernmost citrus areas and at higher altitudes in the south. Host plants for planting originating from infested places of production (greenhouses) within the risk assessment area are considered the main pathway for spread within the risk assessment area. Under current climatic conditions, the population of R. similis is not expected to reach damaging population levels in the open field. In case of increased temperatures due to global warming, the nematode population may reach damaging levels in very few places outdoors. Currently, main impact is considered for ornamental greenhouse production in the risk assessment area. Impact will be either caused by direct plant growth reductions or loss due to phytosanitary measures applied on regulated plants. Despite the fact that R. similis is globally considered as one of the most destructive plant parasitic nematodes, the impact in the risk assessment area is considered low

Citrus junos as a host of citrus bacterial canker

Following a request from the European Commission, the European Food Safety Authority (EFSA) Plant Health (PLH) Panel analysed a dossier submitted by the Japanese authorities in order to clarify the host status of Citrus junos with regard to Xanthomonas citri pv. citri and Xanthomonas citri pv. aurantifolii, causal agents of citrus bacterial canker, and to indicate whether C. junos fruit could represent a pathway for the introduction of citrus bacterial canker into the European Union. In a previous opinion in the year 2014, the EFSA PLH Panel concluded that commercial fresh citrus fruit is generally pathway and that no commercially important Citrus species or variety can be considered as immune to citrus bacterial canker. In the current assessment, the EFSA PLH Panel analysed the two scientific papers provided by the Japanese authorities, as well as 16 additional papers identified through a systematic literature review. The PLH Panel considered that the conclusions of its previous opinion remain valid and that convergent lines of evidence provide sufficient demonstration that C. junos is a host of X. citri pv. citri and X. citri pv. aurantifolii. Therefore, there is no reason to consider the C. junos fruit differently from other citrus species. Consequently, the assessment of the general citrus fruit pathway from the 2014 opinion still applies. Uncertainties on these conclusions are a result of the scarce scientific evidence published on this subject in addition to the methodological and reporting limitations of the published papers

Efficacy and safety of bilateral continuous theta burst stimulation (cTBS) for the treatment of chronic tinnitus: design of a three-armed randomized controlled trial

<p>Abstract</p> <p>Background</p> <p>Tinnitus, the perception of sound and noise in absence of an auditory stimulus, has been shown to be associated with maladaptive neuronal reorganization and increased activity of the temporoparietal cortex. Transient modulation of tinnitus by repetitive transcranial magnetic stimulation (rTMS) indicated that these areas are critically involved in the pathophysiology of tinnitus and suggested new treatment strategies. However, the therapeutic efficacy of rTMS in tinnitus is still unclear, individual response is variable, and the optimal stimulation area disputable. Recently, continuous theta burst stimulation (cTBS) has been put forward as an effective rTMS protocol for the reduction of pathologically enhanced cortical excitability.</p> <p>Methods</p> <p>48 patients with chronic subjective tinnitus will be included in this randomized, placebo controlled, three-arm trial. The treatment consists of two trains of cTBS applied bilaterally to the secondary auditory cortex, the temporoparietal associaction cortex, or to the lower occiput (sham condition) every working day for four weeks. Primary outcome measure is the change of tinnitus distress as quantified by the Tinnitus Questionnaire (TQ). Secondary outcome measures are tinnitus loudness and annoyance as well as tinnitus change during and after treatment. Audiologic and speech audiometric measurements will be performed to assess potential side effects. The aim of the present trail is to investigate effectiveness and safety of a four weeks cTBS treatment on chronic tinnitus and to compare two areas of stimulation. The results will contribute to clarify the therapeutic capacity of rTMS in tinnitus.</p> <p>Trial registration</p> <p>The trial was registered with the clinical trials register of <url>http://www.clinicaltrials.gov</url> (NCT00518024).</p

Pest categorisation of Gremmeniella abietina

Following a request from the European Commission, the EFSA Plant Health (PLH) Panel performed a pest categorisation of Gremmeniella abietina, a well-defined species and distinguishable fungus of the family Godroniaceae. The species G. abietina includes several varieties, races and biotypes that are found in different geographical locations, on different hosts and that vary in aggressiveness. The pathogen causes diseases on Pinus species and other conifers such as Abies spp., Picea spp., Larix spp. and Pseudotsuga spp. known as Scleroderris canker in North America and Brunchorstia dieback in Europe. G. abietina has been reported from 19 EU Member States, without apparent ecoclimatic factors limiting establishment. The pathogen is a protected zone (PZ) quarantine pest (Annex IIB) for Ireland and the UK (Northern Ireland). The main European hosts are widespread throughout most of the EU and have been frequently planted in the PZ. The main means of spread are wind-blown ascospores, rain-splashed conidia, plants for planting and traded Christmas trees. Given that G. abietina is most damaging to species that are grown towards the limit of their range, impacts can be expected in the PZ, should the pathogen be introduced there. Risk reduction options include selection of disease-free planting material, nursery inspections, selection of planting sites at some distance from infested plantations, appropriate spacing between plants and thinning. The main uncertainties concern the indeterminate endophytic stage of the fungus, the pathogen distribution and the future taxonomic status of G. abietina, given its intraspecific diversity. All the criteria assessed by the Panel for consideration as potential PZ quarantine pest are met. The criterion of plants for planting being the main pathway for spread for regulated non-quarantine pests is not met: plants for planting are only one of the means of spread of the pathogen

Risk to plant health of Flavescence doree for the EU territory

Following a request from the European Commission, the EFSA Panel on Plant Health (PLH) performed a quantitative analysis of the risk posed by the Flavescence dor\ue9e phytoplasma (FDp) in the EU territory. Three scenarios were analysed, one with current measures in place (scenario A0), one designed to improve grapevine propagation material phytosanitary status (scenario A1) and one with reinforced eradication and containment (scenario A2). The potential for entry is limited, FDp being almost non-existent outside the EU. FDp and its major vector, Scaphoideus titanus, have already established over large parts of the EU and have the potential to establish in a large fraction of the currently unaffected EU territory. With the current measures in place (A0), spread of FDp is predicted to continue with a progression of between a few and ca 20 newly infested NUTS 2 regions during the next 10 years, illustrating the limitations of the current control measures against spread. FDp spread is predicted to be roughly similar between scenarios A1 and A2, but more restricted than under scenario A0. However, even with reinforced control scenarios, stabilisation or reduction in the number of infested NUTS 2 regions has only relatively low probability. Under scenario A0, FDp has a 0.5\u20131% impact on the overall EU grapes and wine production, reflecting the effectiveness of the current control measures against impact. Under both scenarios A1 and A2, FDp impact is predicted to be reduced, by approximately one-third (A1) to two-thirds (A2) as compared to A0, but the associated uncertainties are large. The generalised use of hot water treatment for planting material produced in infected zones has the most important contribution to FDp impact reduction in scenario A1 and has high feasibility. Both increased eradication and containment measures contribute to impact reduction under scenario A2 but the overall feasibility is lower

20-Year Risks of Breast-Cancer Recurrence after Stopping Endocrine Therapy at 5 Years

The administration of endocrine therapy for 5 years substantially reduces recurrence rates during and after treatment in women with early-stage, estrogen-receptor (ER)-positive breast cancer. Extending such therapy beyond 5 years offers further protection but has additional side effects. Obtaining data on the absolute risk of subsequent distant recurrence if therapy stops at 5 years could help determine whether to extend treatment