A new bovine tuberculosis model for England and Wales (BoTMEW) to simulate epidemiology, surveillance and control.

BACKGROUND: Bovine tuberculosis (bTB) is a zoonotic disease of cattle caused by Mycobacterium bovis, widespread in England and Wales. It has high incidence towards the South West of England and Wales, with much lower incidence to the East and North. A stochastic simulation model was developed to simulate M. bovis transmission among cattle, transfer by cattle movements and transmission from environmental reservoirs (often wildlife and especially badgers). It distinguishes five surveillance streams, including herd tests, pre-movement testing and slaughter surveillance. The model thereby simulates interventions in bTB surveillance and control, and generates outputs directly comparable to detailed disease records. An anonymized version of the executable model with its input data has been released. The model was fitted to cattle bTB records for 2008-2010 in a cross-sectional comparison, and its projection was compared with records from 2010 to 2016 for validation. RESULTS: The fitted model explained over 99% of the variation among numbers of breakdowns in four defined regions and surveillance streams in 2010. It classified 7800 (95% confidence interval c. 5500 - 14,000) holdings within high incidence regions as exposed to infectious environmental reservoirs, out of over 31,000 cattle holdings identified as potentially exposed to such sources. The model was consistent with previous estimates of low M. bovis transmission rate among cattle, but cattle to cattle transmission was clearly required to generate the number of cattle cases observed. When projected to 2016, the model as fitted to 2010 continued to match the distribution of bTB among counties, although it was notable that the actual distribution of bTB in 2010 was itself a close match for its distribution in 2016. CONCLUSIONS: The close model fit demonstrated that cattle movements could generate breakdowns as observed in low incidence regions, if persistent environmental reservoirs such as wildlife maintained infection levels in the high incidence regions. The model suggests that environmental reservoirs may be a challenge for control, because, although many holdings are exposed to infection from wildlife or the environment, they are a minority of holdings. Large impacts on disease in wildlife will be required to avoid each individual transmission event to cattle.

Quantification of the probability of reintroduction of IBR in the Netherlands through cattle imports.

In the Netherlands, the feasibility of a national control program for infectious bovine rhinotracheitis (IBR) is discussed. The aim of this program would be to achieve freedom from BoHV1 circulation (the causal agent of IBR), in the Dutch cattle population. When IBR would be eradicated, maintaining the free status is essential and insight in the probability of introduction of IBR through cattle imports is crucial. Values for input parameters such as the number of imports per country of origin, herd level prevalence and probability that a random imported animal per age category was either acutely or latently infected with IBR were quantified. A stochastic simulation model was built to predict the basic risk and the efficacy of four risk mitigating scenarios were evaluated. These scenarios involved testing prior to import, import restrictions and vaccination. The model output predicted that IBR infected animals are imported regularly. In an IBR free situation, 571 (5th and 95th percentile: 431-781) cattle herds will be newly infected. Latent infections account for most newly infected herds (77%). When the virus in the imported latently infected animal does not reactivate, subsequent impact of such infections remains limited. The model predicted that most of the herds infected by introduction of acutely infected animals would be veal herds. The scenario in which imports were only allowed from status 9 or 10 countries combined with testing cattle that originated from status 9 countries was most effective in reduction of the import risk to 70 herds per year. The scenario in which vaccination of calves was combined with testing of older cattle was estimated to reduce the number of newly infected herds to 82 per year. The stakeholders classified the latter scenario as most realistic because this scenario was deemed both feasible and rather effective. This study did not evaluate the impact of introduction of IBR in the cattle population, which might differ depending on the type of infection (acute vs. latent) and the herd type in which the virus is introduced. Moreover, when making the final decision about the optimal intervention, the economic perspective should also be taken into account. This study predicted that introduction of IBR will remain a risk for the Dutch cattle population after virus circulation is eliminated from the Netherlands. The import risk is reduced most in scenarios in which testing and vaccination are combined.

Analysis of Q fever in Dutch dairy goat herds and assessment of control measures by means of a transmission model.

Between 2006 and 2009 the largest human Q fever epidemic ever described occurred in the Netherlands. The source of infection was traced back to dairy goat herds with abortion problems due to Q fever. The first aim of control measures taken in these herds was the reduction of human exposure. To analyze Q fever dynamics in goat herds and to study the effect of control measures, a within-herd model of Coxiella burnetii transmission in dairy goat herds was developed. With this individual-based stochastic model we evaluated six control strategies and three herd management styles and studied which strategy leads to a lower Q fever prevalence and/or to disease extinction in a goat herd. Parameter values were based on literature and on experimental work. The model could not be validated with independent data. The results of the epidemiological model were: (1) Vaccination is effective in quickly reducing the prevalence in a dairy goat herd. (2) When taking into account the average time to extinction of the infection and the infection pressure in a goat herd, the most effective control strategy is preventive yearly vaccination, followed by the reactive strategies to vaccinate after an abortion storm or after testing BTM (bulk tank milk) positive. (3) As C. burnetii in dried dust may affect public health, an alternative ranking method is based on the cumulative amount of C. burnetii emitted into the environment (from disease introduction until extinction). Using this criterion, the same control strategies are effective as when based on time to extinction and infection pressure (see 2). (4) As the bulk of pathogen excretion occurs during partus and abortion, culling of pregnant animals during an abortion storm leads to a fast reduction of the amount of C. burnetii emitted into the environment. However, emission is not entirely prevented and Q fever will not be eradicated in the herd by this measure. (5) A search & destroy (i.e. test and cull) method by PCR of individual milk samples with a detection probability of 50% of detecting and culling infected goats - that excrete C. burnetii intermittently - will not result in eradication of Q fever in the herd. This control strategy was the least effective of the six evaluated strategies. Subject to model limitations, our results indicate that only vaccination is capable of preventing and controlling Q fever outbreaks in dairy goat farms. Thus, preventive vaccination should be considered as an ongoing control measure.

Probability of introducing porcine epidemic diarrhea virus into Danish pig herds by imported spray-dried porcine plasma.

BACKGROUND: Porcine epidemic diarrhea virus (PEDV) has never been reported in Denmark, but it has been found in Europe, Asia and North America. Ultimately, PEDV has been associated with devastating outbreaks in pig farms. We developed a stochastic simulation model to carry out a quantitative risk assessment and to estimate the annual probability (PPlasma) of introducing PEDV into the Danish pig population, by imported spray-dried porcine plasma (SDPP). The model was based on information from literature and Danish feed companies. Moreover testing the batch of raw blood (before the spray-drying) was considered as potential risk mitigation measure in the future. RESULTS: The median PPlasma was 0.2 % (90 % P.I.: 0.003 %; 2.6 %). Hence, the annual probability of introducing PEDV into the Danish pig population by imported SDPP appeared very low, and on average at least one introduction each 500 years - corresponding to 1/0.002 - could be expected. However, if PEDV survived the spray-drying process and storage was insufficient to completely remove the remaining viable virus (e.g. due to storage at low environmental temperatures during a short time period) the PPlasma was 4.7 % (0.06 %; 57.4 %). In that case, on average, at least one PEDV introduction each 21 years could be expected. This probability could be reduced to 0.3 % (0.004 %; 6.0 %) if the raw batch of blood could be tested before drying (corresponding to at least one introduction each 333 years on average). CONCLUSIONS: This study provides preliminary and important information on the probability of introducing PEDV into the Danish pig population by use of SDPP. Currently PED is not a notifiable disease in the EU and uncertainty was present in our estimates due to possible underreporting in EU Member States, from which SDPP is imported into Denmark. In the future, PED might become a notifiable disease, and in such a case, new knowledge could become available on its epidemiology. Moreover, SDPP could be imported more safely if: producers find a way to substantiate freedom from disease (at least) in herds delivering blood for SDPP, the batch of blood tests negative for PEDV and conditions for processing/storage required by the international laws are respected.

The potential of antiviral agents to control classical swine fever: a modelling study.

Classical swine fever (CSF) represents a continuous threat to pig populations that are free of disease without vaccination. When CSF virus is introduced, the minimal control strategy imposed by the EU is often insufficient to mitigate the epidemic. Additional measures such as preemptive culling encounter ethical objections, whereas emergency vaccination leads to prolonged export restrictions. Antiviral agents, however, provide instantaneous protection without inducing an antibody response. The use of antiviral agents to contain CSF epidemics is studied with a model describing within- and between-herd virus transmission. Epidemics are simulated in a densely populated livestock area in The Netherlands, with farms of varying sizes and pig types (finishers, piglets and sows). Our results show that vaccination and/or antiviral treatment in a 2 km radius around an infected herd is more effective than preemptive culling in a 1 km radius. However, the instantaneous but temporary protection provided by antiviral treatment is slightly less effective than the delayed but long-lasting protection offered by vaccination. Therefore, the most effective control strategy is to vaccinate animals when allowed (finishers and piglets) and to treat with antiviral agents when vaccination is prohibited (sows). As independent control measure, antiviral treatment in a 1 km radius presents an elevated risk of epidemics running out of control. A 2 km control radius largely eliminates this risk.