Content Analysis of Official Public Health Communications in Ontario, Canada during the COVID-19 Pandemic.

Effective communication by governmental organizations is essential to keep the public informed during a public health emergency. Examining the content of these communications can provide insight into their alignment with best practices for risk communication. We used content analysis to determine whether news releases by the Ontario government contained key elements of effective risk communication, as outlined by the Health Canada and Public Health Agency of Canada Strategic Risk Communication Framework. News releases between 25 January 2020 and 31 December 2022 were coded following the five elements of the framework: situational transparency, stakeholder-centered content; evidence-based rationales for decisions; continuous improvements in updating information; and descriptions of risk management. All 322 news releases contained at least one element of the framework, and all five elements were identified at least once across the dataset. Risk management, transparency, and stakeholder-centered content were the most frequently identified elements. News releases near the beginning of the pandemic contained most elements of the framework; however, over time, there was an increase in the use of vague language and lack of evidence-based rationales. Increasing transparency regarding evidence-based decisions, as well as changes in decisions, is recommended to improve risk communication and increase compliance with public health measures.

'I want to be the sort of owner that he wants me to be': Rationales for biosecurity implementation among British horse owners.

BACKGROUND: Horse owners play a critical role in mitigating the risk of pathogen spread between horses. However, little is known about how they view biosecurity and whether they experience barriers to the uptake of preventive measures. OBJECTIVES: To explore horse owners' attitudes, perceptions, and experiences of biosecurity and identify how these factors shape horse owners' decisions for biosecurity implementation. STUDY DESIGN: Qualitative study using semi-structured interviews. METHODS: Interviews were conducted with 23 horse owners across Great Britain. Participants were purposively selected to include those in different geographic regions, with different management arrangements, and varied length of horse ownership experience. Interviews were audio-recorded, transcribed verbatim, and analysed using a critical realist thematic analysis. RESULTS: Participants felt a moral obligation to prioritise their horse's happiness, which became a challenge when certain biosecurity measures (e.g., quarantine) were perceived as compromising their horse's happiness or comfort (Theme 1). A lack of biosecurity was the social norm among shared yards and competition venues (Theme 2), which made it difficult for participants to implement biosecurity measures effectively on their own. Combined with the sense of moral obligation participants felt towards their horse, this meant that participants had to 'care double' (i.e., be more vigilant than they would otherwise) to compensate for collective inaction (Theme 3). MAIN LIMITATIONS: Participants may have been more interested in and/or knowledgeable about biosecurity than the general horse owning population. CONCLUSIONS: The findings highlight several challenges that could be addressed to improve biosecurity implementation among horse owners. Efforts to encourage improved uptake of biosecurity measures should focus on communicating how reducing the risk of disease aligns with horse care. Further research on social norms in the horse industry is needed, in addition to identifying strategies to encourage a collective adoption of biosecurity measures.

Challenges to exotic disease preparedness in Great Britain: The frontline veterinarian's perspective.

BACKGROUND: Exotic diseases pose a significant risk to horse health and welfare. Several stakeholder groups, including primary care veterinarians, share responsibility for maintaining freedom from pathogens that cause exotic diseases. However, little is known about the current state of exotic disease preparedness within the British horse industry. OBJECTIVES: The aim of this study was to explore equine veterinarians' experiences of, and attitudes towards, exotic disease preparedness in Great Britain. STUDY DESIGN: This is a qualitative interview-based study. METHODS: Semistructured interviews were conducted with 14 primary care equine veterinarians in Great Britain. Participants were purposively selected to include perspectives across varying levels of experience, clientele and location. All interviews were recorded, transcribed verbatim and analysed using thematic analysis. RESULTS: Three themes were developed: (a) the reactive generalist, relating to participants' self-concept of their role as primary care practitioners; (b) working within the bounds of influence, encompassing participants' perceived inability to influence their clients' knowledge and behaviours and (c) a fragmented horse industry, illustrating the wider culture in which participants worked, characterised by a lack of cohesion amongst its members. MAIN LIMITATIONS: Only veterinarians' perspectives have been captured, so viewpoints from other stakeholders, such as horse owners and government officials, should be used to triangulate these findings. CONCLUSIONS: The findings suggest that improvements are required before an optimal level of exotic disease preparedness can be achieved. Additional support provided to frontline veterinarians, such as skills-based training (ie, clinical reasoning and collaborative relationship building), accessible and trusted emergency support networks and clear expectations and responsibilities during an outbreak are recommended to optimise exotic disease preparedness.

Modelling the impact of age-stratified public health measures on SARS-CoV-2 transmission in Canada.

Public health measures applied exclusively within vulnerable populations have been suggested as an alternative to community-wide interventions to mitigate SARS-CoV-2 transmission. With the population demography and healthcare capacity of Canada as an example, a stochastic age-stratified agent-based model was used to explore the progression of the COVID-19 epidemic under three intervention scenarios (infection-preventing vaccination, illness-preventing vaccination and shielding) in individuals above three age thresholds (greater than or equal to 45, 55 and 65 years) while lifting shutdowns and physical distancing in the community. Compared with a scenario with sustained community-wide measures, all age-stratified intervention scenarios resulted in a substantial epidemic resurgence, with hospital and ICU bed usage exceeding healthcare capacities even at the lowest age threshold. Individuals under the age threshold were severely impacted by the implementation of all age-stratified interventions, with large numbers of avoidable deaths. Among all explored scenarios, shielding older individuals led to the most detrimental outcomes (hospitalizations, ICU admissions and mortality) for all ages, including the targeted population. This study suggests that, in the absence of community-wide measures, implementing interventions exclusively within vulnerable age groups could result in unmanageable levels of infections, with serious outcomes within the population. Caution is therefore warranted regarding early relaxation of community-wide restrictions.

Preliminary insight into horse owners' perceptions of, and attitudes towards, exotic diseases in the United Kingdom.

BACKGROUND: The potential for an exotic disease incursion is a significant concern for the United Kingdom (UK) equine industry. Horse owners' perceptions of, and attitudes towards, exotic diseases can influence decisions to adopt disease preparedness strategies. The objectives of this study were to describe horse owners' 1) perceptions of the term 'exotic disease', and 2) attitudes towards their risk of being affected by an exotic disease. In order to address these objectives, qualitative content analysis was undertaken on data collected using two open-ended survey questions. RESULTS: Horse owners (n = 423) perceived exotic diseases as 1) belonging somewhere else, and 2) a dangerous threat to their horse(s). The term 'exotic' was associated with being foreign, non-native, and out-of-place in the UK. Attitudes towards exotic disease risk were summarised into four categories: 1) responsible horse owners prevent disease, 2) horse owners need support to stop disease spread, 3) risk depends on proximity to the 'risky' horse, and 4) some risk is inevitable. A 'responsible' owner was aware of health hazards and took actions to protect their horse from disease. Reliance on others, including stakeholders, to uphold disease prevention in the community led to feeling vulnerable to disease threats. When evaluating risk, horse owners considered which horses were the 'riskiest' to their horse's health (horses that travelled, participated in competitions, or were simply unfamiliar) and avoided situations where they could interact. Despite undertaking disease prevention measures, the perceived uncontrollable nature of exotic diseases led some owners to feel an incursion was inevitable. CONCLUSIONS: Without accounting for horse owners' perceptions of, and attitudes towards, exotic diseases, recommendations to increase preparedness may be ineffective. Improved communication among stakeholders in the industry may assist in clarifying expectations for exotic disease-specific prevention measures. A collaborative approach among horse owners and stakeholders is recommended to improve disease preparedness within the industry.

A cross-sectional study of horse owners' awareness and perceived risk of exotic diseases in the United Kingdom.

The international nature of the equine industry provides opportunities for the spread of infectious diseases between countries. While incursions of exotic diseases into the United Kingdom (UK) equine population have been rare, the potential socioeconomic and welfare impacts are a significant concern. However, little is known about leisure horse owners' ability or willingness to prepare for an exotic disease incursion. The objectives of this study were to describe UK leisure horse owners' awareness and perceptions of exotic diseases, and to identify clusters of horse owners characterised by their awareness and perceived risk of exotic diseases. A cross-sectional study of leisure horse owners in the UK was conducted between April and July 2018. Participants (n = 403) completed an online questionnaire with questions pertaining to demographics, experiences with endemic diseases, and awareness and perceptions of exotic diseases. Hierarchical cluster analysis was used to identify groups of participants that were similar in regard to their awareness and perceived risk of exotic diseases. Participants identified a median of 3 (IQR 2-4) exotic diseases, with the most recognised exotic diseases being African horse sickness and West Nile virus. The most frequently mentioned clinical signs that participants thought were associated with exotic diseases included high temperature (57.2%), discharge (46.5%), and lack of energy (41.2%). Hierarchical cluster analysis identified three clusters of participants: 1) those who were aware of exotic diseases and perceived a high amount of risk (n = 78); 2) those who were aware of exotic diseases but perceived a low amount of risk (n = 111); and 3) those who were less aware of exotic diseases and perceived a low amount of risk (n = 214). Efforts to communicate the relevance and consequences of exotic diseases to horse owners should consider the potential difference in receptiveness among horse owners in each cluster. Further investigations are required to determine the implications of horse owners' perceived risk on exotic disease preparedness.

Descriptive analysis of horse movement networks during the 2015 equestrian season in Ontario, Canada.

Horses are a highly mobile population, with many travelling locally, nationally, and internationally to participate in shows and sporting events. However, the nature and extent of these movements, as well as the potential impact they may have on disease introduction and spread, is not well documented. The objective of this study was to characterise the movement network of a sample of horses in Ontario, Canada, over a 7-month equestrian season. Horse owners (n = 141) documented their travel patterns with their horse(s) (n = 330) by completing monthly online questionnaires between May and November 2015. Directed networks were constructed to represent horse movements in 1-month time periods. A total of 1754 horse movements met the inclusion criteria for analysis. A variety of location types were included in each monthly network, with many including non-facilities such as parks, trails, and private farms. Only 34.3% of competitions attended by participants during the study period were regulated by an official equestrian organisation. Comparisons of the similarity between monthly networks indicated that participants did not travel to the same locations each month, and the most connected locations varied between consecutive months. While the findings should not be generalized to the wider horse population, they have provided greater insight into the nature and extent of observed horse movement patterns. The results support the need to better understand the variety of locations to which horses can travel in Ontario, as different types of locations may have different associated risks of disease introduction and spread.

A longitudinal study describing horse demographics and movements during a competition season in Ontario, Canada.

The objective of this study was to describe the demographics and movement patterns of a sample of horses in Ontario, Canada. A convenience sample of 222 owners completed an initial questionnaire to provide demographic information for 570 horses. These horses were enrolled in a longitudinal study to document their movements from May to November 2015 using a monthly questionnaire. The median age of the participating horses was 11 years (IQR: 8 to 16 years). The primary discipline of participating horses included competitive disciplines (63.3%), leisure (33.3%), and racing (3.2%). During the 7-month period, there were 3001 unidirectional movements of horses between facilities. Reasons for travel on/off a facility included attending a competition (38.7%), leisure activities (18.8%), and training (7.5%). The demographic and movement data presented in this study provide insight into the characteristics of a subset of horses in Ontario, and may contribute to outbreak preparedness in the population.

Étude longitudinale décrivant les données démographiques des chevaux et leurs mouvements durant une saison compétitive en Ontario, au Canada. L'objectif de cette étude consistait à décrire les données démographiques et les mouvements d'un échantillon de chevaux en Ontario, au Canada. Un échantillon utile était composé de 222 propriétaires qui ont rempli un premier questionnaire afin de fournir des données démographiques pour 570 chevaux. Ces chevaux étaient inscrits dans une étude longitudinale afin de documenter leurs mouvements de mai à novembre 2015 à l'aide d'un questionnaire mensuel. L'âge médian des chevaux participants était de 11 ans (IQR : 8 à 16 ans). La discipline primaire des chevaux participants comprenait des disciplines de compétition (63,3 %), d'agrément (33,3 %) et de course (3,2 %). Durant la période de 7 mois, il y a eu 3001 déplacements unidirectionnels de chevaux entre les installations. Les raisons des déplacements à l'aller ou au départ d'une installation incluaient une compétition (38,7 %), des activités d'agrément (18,8 %) et l'entraînement (7,5 %). Les données sur la démographie et les mouvements dans cette étude ont fourni des renseignements sur les caractéristiques d'un sous-groupe de chevaux en Ontario et pourront contribuer à la préparation aux éclosions au sein de la population.(Traduit par Isabelle Vallières).

Using a computer simulation model to examine the impact of biosecurity measures during a facility-level outbreak of equine influenza.

On-farm biosecurity measures are an important part of a control plan to minimize the introduction and spread of infectious diseases, such as equine influenza, in an equine facility. It can be challenging, however, to evaluate the efficacy of biosecurity measures under field conditions. We used an agent-based computer simulation model to describe the impact of: i) preventive vaccination; ii) reduced horse-to-horse contact; and iii) a combination of vaccination and reduced contact during an outbreak of equine influenza in a simulated horse facility. The model demonstrated that the most effective intervention was a combination of a high proportion of recently vaccinated horses and a substantial reduction in horse-to-horse contact once equine influenza had been identified in the facility. This study highlights the importance of compliance when implementing biosecurity measures, such as facility-level infection control practices, on horse farms.

Les mesures de biosécurité à la ferme sont une composante importante d'un plan de maîtrise afin de minimiser l'introduction et la dissémination de maladies infectieuses, telle que l'influenza, dans une installation équine. L'évaluation de l'efficacité de mesures de biosécurité dans des conditions de champ peut toutefois représenter un défi. En absence d'une épidémie active, nous avons utilisé une simulation informatisée d'une infection afin de décrire l'impact de : i) une vaccination préventive; ii) une réduction des contacts cheval-à-cheval; et iii) une combinaison de vaccination et de contacts réduits sur le taux d'attaque projeté d'une épidémie simulée d'influenza équin dans un établissement. Les résultats ont démontré que l'intervention la plus efficace était une combinaison d'une proportion élevée de chevaux récemment vaccinés et d'une réduction substantielle des contacts cheval-à-cheval une fois que l'influenza fut identifiée dans l'établissement. Cette étude fait ressortir l'importance de la compliance lors de la mise en place de mesures de biosécurité sur des fermes équines, telles que des pratiques de maitrise des infections au niveau de l'établissement.(Traduit par Docteur Serge Messier).

Estimating the potential for disease spread in horses associated with an equestrian show in Ontario, Canada using an agent-based model.

Participation in equestrian shows provides opportunities for contact between horses, increasing the risk of disease introduction and spread within the population. The magnitude of a potential outbreak, and the impact of disease prevention and control strategies, can be estimated using simulation modeling. The objectives of this study were to (1) examine the potential spread of equine influenza in a network of horses associated with a 2-day equestrian show in Ontario, Canada; and (2) determine the effectiveness of several interventions during a simulated outbreak. A discrete-event, continuous-time, stochastic agent-based simulation model was constructed to represent horses associated with the show, including those in attendance at the show, and those that were not in attendance but co-boarded with attending horses at their home facilities. At the beginning of each simulation run, one random horse in attendance at the show was infected with equine influenza. In the absence of interventions, the median attack rate was 0.029 (IQR: 0.016-0.056; mean: 0.043; 95% CI: 0.040-0.044) and the average outbreak duration was 19.58 days (95% CI: 19.31-19.85). The most effective intervention was the implementation of either a 5-day or 14-day quarantine period, which both resulted in the same median attack rate of 0.0026 (IQR: 0.0013-0.0039), although the mean attack rates differed (mean: 0.0043, 95% CI: 0.0039-0.0046; and mean: 0.0029, 95% CI: 0.0028-0.0029; respectively). In instances where implementing either a 5-day or 14-day quarantine period would not be feasible, quarantine for shorter time periods was effective when combined with targeted increases in initial facility-level vaccine coverage. The combined implementation of a 2-day quarantine period and an increased vaccine coverage of 75% in facilities with four or more owners resulted in a median attack rate of 0.013 (IQR: 0.0052-0.026; mean: 0.022; 95% CI: 0.020-0.024). This study demonstrates a relative comparison of intervention effectiveness during a simulated outbreak of equine influenza in a population of horses associated with an equestrian show. The results have the potential to inform and improve the current strategies used to prevent the introduction and spread of disease within the equine population.

Descriptive and network analyses of the equine contact network at an equestrian show in Ontario, Canada and implications for disease spread.

BACKGROUND: Identifying the contact structure within a population of horses attending a competition is an important element towards understanding the potential for the spread of equine pathogens as the horses subsequently travel from location to location. However, there is limited information in Ontario, Canada to quantify contact patterns of horses. The objective of this study was to describe the network of potential contacts associated with an equestrian show to determine how this network structure may influence potential disease transmission. RESULTS: This was a descriptive study of horses attending an equestrian show in southern Ontario, Canada on July 6 and 7, 2014. Horse show participants completed a questionnaire about their horse, travel patterns, and infection control practices. Questionnaire responses were received from horse owners of 79.7% (55/69) of the horses attending the show. Owners reported that horses attending the show were vaccinated for diseases such as rabies, equine influenza, and equine herpesvirus. Owners demonstrated high compliance with most infection control practices by reporting reduced opportunities for direct and indirect contact while away from home. The two-mode undirected network consisted of 820 nodes (41 locations and 779 horses). Eight percent of nodes in the network represented horses attending the show, 87% of nodes represented horses not attending the show, but boarded at individual home facilities, and 5% represented locations. The median degree of a horse in the network was 33 (range: 1-105). CONCLUSIONS: Developing disease management strategies without the explicit consideration of horses boarded at individual home facilities would underestimate the connectivity of horses in the population. The results of this study provides information that can be used by equestrian show organizers to configure event management in such a way that can limit the extent of potential disease spread.

Unh1, an Ustilago maydis Ndt80-like protein, controls completion of tumor maturation, teliospore development, and meiosis.

In this study, Ustilago maydis Ndt80 homolog one, unh1, of the obligate sexual pathogen U. maydis,is described. Unh1 is the sole Ndt80-like DNA-binding protein inU. maydis. In this model basidiomycete, Unh1 plays a role in sexual development, influencing tumor maturation, teliospore development and subsequent meiotic completion. Teliospore formation was reduced in deletion mutants, and those that did form had unpigmented, hyaline cell walls, and germinated without completing meiosis. Constitutively expressing unh1 in haploid cells resulted in abnormal pigmentation, when grown in both potato dextrose broth and minimal medium, suggesting that pigmentation may be triggered by unh1 in U. maydis. The function of Unh1 in sexual development and pigment production depends on the presence of the Ndt80-like DNA-binding domain, identified within Unh1. In the absence of this domain, or when the binding domain was altered with targeted amino acid changes, ectopic expression of Unh1 failed to complement the unh1 deletion with regards to pigment production and sexual development. An investigation of U. maydis genes with upstream motifs similar to Ndt80 recognition sequences revealed that some have altered transcript levels in Δunh1 strains. We propose that the first characterized Ndt80-like DNA-binding protein in a basidiomycete, Unh1, acts as a transcription factor that is required for teliospore maturation and the completion of meiosis in U. maydis.