A cost-benefit assessment of Salmonella-control strategies in pigs reared in the United Kingdom.

Pork and pork products are a major source of human salmonellosis in the United Kingdom (UK). Despite a number of surveillance programmes, the prevalence of Salmonella in the UK slaughter pig population remains over 20%. Here, we present the results of a Cost-Benefit Analysis comparing five on-farm control strategies (where the cost is the cost of implementation and the benefits are the financial savings for both the human health and pig industries). The interventions considered were: wet feed, organic acids in feed, vaccination, enhanced cleaning and disinfection and movement of outdoor breeding units. The data originate from published papers and recent UK studies. The effectiveness was assessed by adapting a previous risk assessment, originally developed for the European Food Safety Authority. Using this method, none of the intervention strategies produced a net cost-benefit. Our results suggest that the cost of implementation outweighed the savings for all interventions, even if the effectiveness could be improved. Therefore, to achieve a net cost-benefit it is essential to reduce the cost of interventions. Analyses concluded that large cost reductions (up to 96%) would be required. Use of organic acids required the smallest reduction in cost (22.7%) to achieve a net cost benefit. Uncertainty analysis suggested that a small net gain might be possible, for some of the intervention measures. But this would imply that the model greatly underestimated some key parameters, which was considered unlikely. Areas of key uncertainty were identified as the under-reporting factor (i.e. the proportion of community cases of Salmonella) and the source attribution factor (i.e. the proportion of human Salmonella cases attributable to pork products).

Theoretical value of pre-trade testing for Salmonella in Swedish cattle herds.

The Swedish Salmonella control programme includes mandatory action if Salmonella is detected in a herd. The aim of this study was to assess the relative value of different strategies for pre-movement testing of cattle. Three fictitious herds were included: dairy, beef and specialised calf-fattening. The yearly risks of introducing Salmonella with and without individual serological or bulk milk testing were assessed as well as the effects of sourcing animals from low-prevalence areas or reducing the number of source herds. The initial risk was highest for the calf-fattening herd and lowest for the beef herd. For the beef and dairy herds, the yearly risk of Salmonella introduction was reduced by about 75% with individual testing. Sourcing animals from low-prevalence areas reduced the risk by >99%. For the calf-fattening herd, the yearly risk was reduced by almost 50% by individual testing or sourcing animals from a maximum of five herds. The method was useful for illustrating effects of risk mitigation when introducing animals into a herd. Sourcing animals from low-risk areas (or herds) is more effective than single testing of individual animals or bulk milk. A comprehensive approach to reduce the risk of introducing Salmonella from source herds is justified.

Factors affecting costs for on-farm control of salmonella in Swedish dairy herds.

BACKGROUND: The Swedish control program for salmonella includes restrictions and on-farm control measures when salmonella is detected in a herd. Required control measures are subsidised by the government. This provides an opportunity to study costs for on-farm salmonella control. The aim of this study was to describe the costs for on-farm salmonella control in Swedish cattle herds and to investigate the effects of herd factors on these costs in dairy herds. RESULTS: During the 15 years studied there had been a total of 124 restriction periods in 118 cattle herds; 89 dairy herds, 28 specialised fattening herds and three suckler herds. The average costs per herd for on-farm salmonella control was 4.60 million SEK with a median of 1.06 million SEK corresponding to approximately 490 000 and 110 000 EUR. The range was 0.01 to 41 million SEK corresponding to 1080 EUR to 4.44 million EUR per farm. The costs cover measures required in herd-specific control plans, generally measures improving herd hygiene. A mixed linear model was used to investigate associations between herd factors and costs for on-farm salmonella control in dairy herds. Herd size and length of the restriction period were both significantly associated with costs for on-farm control of salmonella with larger herds and longer periods of restrictions leading to higher costs. Serotype detected and administrative changes in the Swedish Board of Agriculture aiming at reducing costs were not associated with costs for on-farm salmonella control. CONCLUSIONS: On-farm control of salmonella in Swedish cattle herds incurred high costs but the costs also varied largely between herds. Larger herds and longer restriction periods increased the costs for on-farm control of salmonella in Swedish dairy herds. This causes concern for future costs for the Swedish salmonella control program as herd sizes are increasing.

Gross margin losses due to Salmonella Dublin infection in Danish dairy cattle herds estimated by simulation modelling.

Salmonella Dublin affects production and animal health in cattle herds. The objective of this study was to quantify the gross margin (GM) losses following introduction and spread of S. Dublin within dairy herds. The GM losses were estimated using an age-structured stochastic, mechanistic and dynamic simulation model. The model incorporated six age groups (neonatal, pre-weaned calves, weaned calves, growing heifers, breeding heifers and cows) and five infection stages (susceptible, acutely infected, carrier, super shedder and resistant). The effects of introducing one S. Dublin infectious heifer were estimated through 1000 simulation iterations for 12 scenarios. These 12 scenarios were combinations of three herd sizes (85, 200 and 400 cows) and four management levels (very good, good, poor and very poor). Input parameters for effects of S. Dublin on production and animal health were based on literature and calibrations to mimic real life observations. Mean annual GMs per cow stall were compared between herds experiencing within-herd spread of S. Dublin and non-infected reference herds over a 10-year period. The estimated GM losses were largest in the first year after infection, and increased with poorer management and herd size, e.g. average annual GM losses were estimated to 49 euros per stall for the first year after infection, and to 8 euros per stall annually averaged over the 10 years after herd infection for a 200 cow stall herd with very good management. In contrast, a 200 cow stall herd with very poor management lost on average 326 euros per stall during the first year, and 188 euros per stall annually averaged over the 10-year period following introduction of infection. The GM losses arose from both direct losses such as reduced milk yield, dead animals, treatment costs and abortions as well as indirect losses such as reduced income from sold heifers and calves, and lower milk yield of replacement animals. Through sensitivity analyses it was found that the assumptions about milk yield losses for cows in the resistant or carrier stages had the greatest influence on the estimated GM losses. This was more influential in the poorer management scenarios due to increased number of infected cows. The results can be used to inform dairy farmers of the benefits of preventing introduction and controlling spread of S. Dublin. Furthermore, they can be used in cost-benefit analyses of control actions for S. Dublin both at herd and sector level.

Producer survey of bird-livestock interactions in commercial dairies.

The objective of this producer survey was to identify and estimate damage caused by bird-livestock interactions in commercial dairies. The interactions between birds and livestock have previously been implicated in causing economic damage while contributing to the environmental dissemination of microorganisms pathogenic to livestock and humans. Very little research exists to help producers understand what bird species use dairies, why they use dairies, or the scope and nature of damage created as a result of bird-livestock interactions. To better characterize these interactions, we surveyed dairy operators within Pennsylvania, New York, and Wisconsin. Survey results suggest that the most common and destructive bird species found on commercial dairies are invasive to North America, and their use of dairies is associated with the loss of cattle feed, increased operating costs, and an increase in dairies self-reporting Salmonella spp. and Mycobacterium avium ssp. paratuberculosis. Cattle feed loss estimates generated from this survey were used to parameterize an input-output (IO) economic model using data from 10 counties in the state of Pennsylvania (Bedford, Berks, Blair, Bradford, Chester, Cumberland, Franklin, Lancaster, Lebanon, and Somerset). This IO model allowed us to estimate direct, indirect, and induced economic effects of feed loss from bird damage to dairies within these counties. The IO model output suggests that feed loss costs Pennsylvania between $4.11 and $12.08 million (mean $10.6 million) in total economic damage, with approximately 43 to 128 jobs (mean 112) forgone statewide in 2009.

Bayesian zero-inflated predictive modelling of herd-level Salmonella prevalence for risk-based surveillance.

The national control programme for Salmonella in Danish swine herds introduced in 1993 has led to a large decrease in pork-associated human cases of salmonellosis. The pork industry is increasingly focused on the cost-effectiveness of surveillance while maintaining consumer confidence in the pork food supply. Using national control programme data from 2003 and 2004, we developed a zero-inflated binomial model to predict which farms were most at risk of Salmonella. We preferentially sampled these high-risk farms using two sampling schemes based on model predictions resulting from a farm's covariate pattern and its random effect. Zero-inflated binomial modelling allows assessment of similarities and differences between factors that affect herd infection status (introduction), and those that affect the seroprevalence in infected herds (persistence and spread). Both large (producing greater than 5000 pigs per annum), and small herds (producing less than 2000 pigs per annum) were at significantly higher risk for infection and subsequent seroprevalence, when compared with medium sized herds (producing between 2000 and 5000 pigs per annum). When compared with herds being located elsewhere, being located in the south of Jutland significantly decreased the risk of herd infection, but increased the risk of a pig from an infected herd being seropositive. The model suggested that many of the herds where Salmonella was not detected were infected, but at a low prevalence. Using cost and sensitivity, we compared the results of our model based sampling schemes with those under the standard sampling scheme, based on herd size, and the recently introduced risk-based approach. Model-based results were less sensitive but show significant cost savings. Further model refinements, sampling schemes and the methods to evaluate their performance are important areas for future work, and these should continue to occur in direct consultation with Danish authorities.

Reducing Campylobacter and Salmonella infection: two studies of the economic cost and attitude to adoption of on-farm biosecurity measures.

To date there has been little research in the UK on farmer adoption of biosecurity measures to control food-borne zoonoses that have little or no impact on animal health or production but which threaten public health. Campylobacteriosis and salmonellosis are the two most common causes of food-borne infectious intestinal disease in people in Great Britain, causing approximately 57,000 and 13,000 reported cases in 2007 respectively (Anon 2008a) with an important cost to society. Poultry are an important source of both infections, while pigs may also contribute to human salmonellosis. However, these infections in poultry and pigs seldom cause disease. Research has shown that improved farm biosecurity may reduce the prevalence of these infections in livestock and if the majority of farmers were prepared to enhance biosecurity then there could be an important impact on public health. This article reports on the findings of two studies of farmer attitudes to and cost of the adoption of on-farm biosecurity measures to reduce the risk of animal diseases and therefore enhance food safety. One study, of Campylobacter infection among broiler flocks, is based on a survey of farmers faced with a hypothetical biosecurity intervention, while the other study, of Salmonella infection among pigs, is based on the participation of a group of farmers in an intervention study. In both cases, the results show a clear inverse relationship between the willingness of farmers to adopt a biosecurity measure and its estimated cost. This finding has implications for the success of on-farm biosecurity-enhancement policies based on voluntary adoption by farmers. In particular, financial inducements or penalties to farmers could be necessary to facilitate adoption of these measures.

Molecular insights into farm animal and zoonotic Salmonella infections.

Salmonella enterica is a facultative intracellular pathogen of worldwide importance. Infections may present in a variety of ways, from asymptomatic colonization to inflammatory diarrhoea or typhoid fever depending on serovar- and host-specific factors. Human diarrhoeal infections are frequently acquired via the food chain and farm environment by virtue of the ability of selected non-typhoidal serovars to colonize the intestines of food-producing animals and contaminate the avian reproductive tract and egg. Colonization of reservoir hosts often occurs in the absence of clinical symptoms; however, some S. enterica serovars threaten animal health owing to their ability to cause acute enteritis or translocate from the intestines to other organs causing fever, septicaemia and abortion. Despite the availability of complete genome sequences of isolates representing several serovars, the molecular mechanisms underlying Salmonella colonization, pathogenesis and transmission in reservoir hosts remain ill-defined. Here we review current knowledge of the bacterial factors influencing colonization of food-producing animals by Salmonella and the basis of host range, differential virulence and zoonotic potential.

Economic and epidemiological evaluation of Salmonella control in Dutch dairy herds.

This paper presents an analysis of a Salmonella control program for Dutch dairy herds. Salmonella control strategies were evaluated using a computer-based model consisting of an epidemiological module and an economics module. The epidemiological module is a state transition model of the infectivity of a herd, with the unit of analysis being the individual farm. The probability of a herd going from one state in the model to another state was derived from biological characteristics of Salmonella infections in dairy herds, and the presence or absence of risk factors. The economics module was based on partial budgeting. Control measures were modeled as influencing the risk factors. Amongst the measures considered were the prohibition of transporting potentially infectious animals and manure to farms, the culling of chronically infected animals, and herd management measures such as separate housing of groups of animal that differ in age. Alternative strategies, both compulsory and obligatory, were defined and evaluated concerning the reduction of prevalence of infected herds, the cost of a strategy, and cost-effectiveness. Results of the model suggested that a compulsory control strategy which included culling chronically infected animals and prohibiting the transport of potentially infected animals reduces the prevalence of Salmonella positive herds considerably, and was most cost-effective. Adding hygienic measures and a ban on the transport of animal manure further reduces prevalence, but only slightly, and with substantially more costs.

Towards incorporating spatial risk analysis for Salmonella sero-positivity into the Danish swine surveillance programme.

An increased incidence of pork-related human salmonellosis in Denmark led to the development of a national control programme for Salmonella in Danish swine herds in 1993. The aim of the programme has been met and now the issue of cost-effectiveness is receiving greater attention. An appropriate way to address this is to bring a risk-based focus to the programme. We describe a practical approach to risk-based surveillance through spatial risk assessment using serological and questionnaire data from 2280 herds in 1995. A mixed effects logistic regression model was fitted and both first- and second-order spatial properties of the random effects were investigated. We identified wet-feeding (OR: 0.64; 95% CI: 0.54-0.75) and SPF health status (OR: 0.65; 95% CI: 0.52-0.81) as protective factors for Salmonella sero-positivity. Purchasing feed (OR: 1.81; 95% CI: 1.61-2.04) was a risk factor. The west of the study area generally, and the north of Jutland in particular, experienced the greatest disease risk after controlling for the covariates. There was some evidence for spatial dependency between farms at distances of 6 km (95% CI: 2-35 km) on the Jutland peninsula. We conclude that when farm location details are analysed in conjunction with routinely recorded surveillance information (such as that collected by the Danish swine Salmonella control programme) and targeted industry surveys (such as those conducted by slaughterhouse co-operatives), our knowledge of the behaviour of disease in animal populations is enhanced and this provides a more informed framework for designing efficient, risk-based surveillance strategies.

Costs of two alternative Salmonella control policies in Finnish broiler production.

BACKGROUND: Costs and benefits of two Salmonella control policies for broiler production were described and compared. The control options were the Zoonosis Directive 92/117/EC and the more intense strategy, the Finnish Salmonella Control Programme (FSCP). METHODS: The comparison included the Salmonella control costs in primary and secondary production and the direct and indirect losses due to Salmonella infections in humans in 2000. RESULTS: The total annual costs of the FSCP were calculated to be 990 400 EUR (0.02 euro/kg broiler meat). The average control costs in the broiler production chain were seven times higher with the FSCP than with the Zoonosis Directive alone. However, the public health costs were 33 times higher with the Zoonosis Directive alone. The value of one prevented loss of life per year exceeded the annual control costs of the FSCP. CONCLUSION: Due to significant savings in public health costs compared to costs of FSCP, the FSCP was found to be economically feasible.

A cost-benefit analysis of Salmonella-control strategies in Danish pork production.

In Denmark, it was agreed to lower the Salmonella prevalence in pork to 1.2% before the end of 2006. The current control did not seem to be sufficient to attain this goal. Therefore, four alternatives to the existing Danish control strategy for Salmonella in pork were compared in a cost-benefit analysis: (1) hot-water decontamination of all pigs at slaughter, (2) sanitary slaughter of pigs from herds with high levels of Salmonella, (3) use of home-mixed feed in herds with slaughter pigs and (4) use of acidified feed for slaughter pigs. The data originated from official statistics, published papers as well as expert opinion. The partial cost-benefit analysis was restricted to slaughterhouses affiliated with the Danish Meat Association and Danish human cases ascribable to pork from these slaughterhouses. Only hot-water decontamination was socio-economically profitable. Hot-water decontamination had a net present value over 15 years of 3.5 million euros. For sanitary slaughter the net present value was - 43.6 million euros, for home-mixed feed it was - 262.3 million euros and for acidified feed it was - 79.9 million euros. For all alternatives the costs were born solely by the pig sector, whereas primarily the consumers and public authorities received the benefits. The conclusions were robust in sensitivity analyses.

[The importance of different pig diseases in the Netherlands]. / Het belang van de verschillende varkensziekten in Nederland.

As part of the project 'Clean pigs', IPG Institute for Pig Genetics BV made an inventory of the impact of different diseases on the Dutch pig industry. An expert panel assessed the importance of the different diseases with regard to public health, farm economy, the pig sector and export sales. The possibilities for the diagnosis of the different pathogens were listed and the goal for the next years, was set. Diseases were classified into three categories, according to their importance for the Dutch pig industry (Table 2). The diseases that can be eradicated are Salmonella (only specific strains), Pasteurella multocida DNT + PAR), Actinobacillus pleuropneumoniae, Haematopinus suis (lice) and Sarcoptes scabei (var. suis) (mange). National introduction of list A en most list B diseases of the OIE classification must be prevented.

Some aspects of the epidemiology and control of Salmonella typhimurium infection in outwintered suckler cows.

Two outbreaks of Salmonella typhimurium infections affected outwintered, spring-calving suckler cows in late pregnancy. The infections spread rapidly both within and between groups of stock on the affected farms, with morbidity in the infected groups varying from 14.5 per cent to over 60 per cent, and mortality in adult cattle varying from 0 to 14.3 per cent. Prophylactic measures included the use of antibiotics and killed vaccines against Escherichia coli, Salmonella dublin, S typhimurium, and Pasteurella multocida. In one outbreak, use was also made of a polyvalent serovaccine and hyperimmune serum against E coli, S typhimurium, and S dublin. In both outbreaks no new cases were reported in the affected groups after the administration of the second dose of vaccine, and there was no resurgence of disease on the affected farms within 18 months of the primary outbreaks.

The economic impact of poultry-borne salmonellosis: how much should be spent on prophylaxis?

Foodborne salmonellosis constitutes a major health problem in many countries. Moreover, the costs associated with salmonellosis could be considerable. There are thus strong arguments for preventive efforts. Ambitious, often government-sponsored, programmes aimed at preventing and controlling salmonellosis in for instance, poultry production represent one alternative to lower salmonellosis-related illness and economic costs. On the other hand, such comprehensive programmes are rather resource-demanding. From the economic point of view the key problem is to find the optimal level for prophylactic measures. The purpose of this study is to compare two different approaches to preventing poultry-borne salmonellosis among humans. We identify and compare the economic costs of illness due to poultry-borne salmonellosis and the costs of salmonella control in England and Wales and Sweden, respectively. An alternative option is then introduced: the concept of competitive exclusion (CE). Our results show that the cost of illness constitutes the major part of the total cost in England and Wales, whereas in Sweden, the control cost amounts to 95% of the total cost. By using the CE concept, the cost of illness due to poultry-borne salmonellosis in England and Wales could be reduced by at least GB pound 12.6 million. These advantages apply to individuals, producers, and to society, and we thus conclude that the CE concept is a very cost-effective way of using scarce resources.

[Payment of the "Niedersachsen epizootic cash" for animal loss by salmonellosis with regard to the structure of cattle farms]. / Leistungen der Niedersächsischen Tierseuchenkasse für Tierverluste durch Salmonellose unter Berücksichtigung der Struktur der Rinderhaltung.

An evaluation of data from the "Niedersächsische Tierseuchenkasse" with reference to various forms of cattle husbandry shows the crucial influence quality of farm management resp. age structure of the stock are having upon the frequency of animal diseases at least as far as the salmonellosis of cattle is concerned. The assessment takes into account the earlier repeatedly identified relationship between occurrence of animal diseases and stock size. The obligations of the "Niedersächsische Tierseuchenkasse" per contributory animal due to losses in fattening calves farms are about three times as high as in "conventional" cattle farms keeping stock of all ages. The "Niedersächsische Tierseuchenkasse" has therefore developed a special premium class for this specific type of farming with a generally higher premium level. Further measures aiming to improve the current situation of cattle salmonellosis are being discussed.

The impact of zoonotic diseases transmitted by pets on human health and the economy.

In the context of all causes of human morbidity and mortality, or even within the context of all infectious diseases affecting the public health, pet-associated zoonotic infections are of moderate importance. The data documented in Table 1, however, indicate that they do exact significant human health and economic costs. If complete data were available for all of the infections shown in Table 1, the costs would be considerably higher. Moreover, most of these diseases are preventable through educating the public, particularly pet owners, of the zoonotic potential of these diseases, so that they may take precautions to minimize the risks leading to infection. These measures include appropriate health care of pets to eliminate infectious agents, reducing the number of uncontrolled, ownerless pets as well as unwanted or poorly supervised pets, preventing pets from soiling public places with their feces, excluding animals from areas where children play, enforcing leash laws, and promoting responsible pet ownership. Veterinarians, physicians, and public health agencies can aid in these efforts; ultimately, however, the responsibility lies with the pet owner.