Northern Ireland farm-level management factors for recurrent bovine tuberculosis herd breakdowns.

Bovine tuberculosis (bTB) is a chronic, infectious and zoonotic disease of domestic and wild animals caused mainly by Mycobacterium bovis. This study investigated farm management factors associated with recurrent bTB herd breakdowns (n = 2935) disclosed in the period 23 May 2016 to 21 May 2018 and is a follow-up to our 2020 paper which looked at long duration bTB herd breakdowns. A case control study design was used to construct an explanatory set of farm-level management factors associated with recurrent bTB herd breakdowns. In Northern Ireland, a Department of Agriculture Environment and Rural Affairs (DAERA) Veterinarian investigates bTB herd breakdowns using standardised guidelines to allocate a disease source. In this study, source was strongly linked to carryover of infection, suggesting that the diagnostic tests had failed to clear herd infection during the breakdown period. Other results from this study associated with recurrent bTB herd breakdowns were herd size and type (dairy herds 43% of cases), with both these variables intrinsically linked. Other associated risk factors were time of application of slurry, badger access to silage clamps, badger setts in the locality, cattle grazing silage fields immediately post-harvest, number of parcels of land the farmer associated with bTB, number of land parcels used for grazing and region of the country.

Northern Ireland farm-level management factors for prolonged bovine tuberculosis herd breakdowns.

This study determined farm management factors associated with long-duration bovine tuberculosis (bTB) breakdowns disclosed in the period 23 May 2016 to 21 May 2018; a study area not previously subject to investigation in Northern Ireland. A farm-level epidemiological investigation (n = 2935) was completed when one or more Single Intradermal Comparative Cervical Test (SICCT) reactors or when one or more confirmed (positive histological and/or bacteriological result) lesion at routine slaughter were disclosed. A case-control study design was used to construct an explanatory set of management factors associated with long-duration bTB herd breakdowns; with a case (n = 191) defined as an investigation into a breakdown of 365 days or longer. Purchase of infected animal(s) had the strongest association as the most likely source of infection for long-duration bTB herd breakdowns followed by badgers and then cattle-to-cattle contiguous herd spread. However, 73.5% (95% CI 61.1-85.9%) of the herd type contributing to the purchase of infection source were defined as beef fattening herds. This result demonstrates two subpopulations of prolonged bTB breakdowns, the first being beef fattening herds with main source continuous purchase of infected animals and a second group of primary production herds (dairy, beef cows and mixed) with risk from multiple sources.

The impact of the number of tuberculin skin test reactors and infection confirmation on the risk of future bovine tuberculosis incidents; a Northern Ireland perspective.

Currently policies enabling cattle herds to regain Official Tuberculosis Free (OTF) status after a bovine tuberculosis (bTB) herd incident vary between individual parts of the British Isles from requiring only one negative single comparative intradermal tuberculin test (SCITT) herd test when bTB infection is not confirmed to needing two consecutively negative SCITT herd tests after disclosure of two or more reactors, irrespective of bTB confirmation. This study used Kaplan-Meier curves and univariable and multivariable Cox Proportional Hazard models to evaluate the effect of the number of SCITT reactors and bTB confirmation on the risk of future bTB herd incident utilising data extracted from the national animal health database in Northern Ireland. Based on multivariable analyses the risk of a future bTB herd incident was positively associated with the number of SCITT reactors identified during the incident period (hazard ratio = 1.861 in incidents >5 SCITT reactors compared to incidents with only one SCITT reactor; P < 0.001), but not with bTB confirmation. These findings suggest that the probability of residual bTB infection in a herd increases with an increasing number of SCITT reactors disclosed during a bTB herd incident. It was concluded that bTB herd incidents with multiple SCITT reactors should be subjected to stricter control measures irrespective of bTB infection confirmation status.

Bovine tuberculosis in Northern Ireland: quantification of the population disease-level effect from cattle leaving herds detected as a source of infection.

Determination of the proportion of bovine tuberculosis (bTB) breakdowns attributed to a herd purchasing infected animals has not been previously quantified using data from the Animal and Public Health Information System (APHIS) database in Northern Ireland. We used a case-control study design to account for the infection process occurring in the disclosing bTB breakdown herds. Cases (N = 6926) were cattle moving to a future confirmed bTB breakdown where they would disclose as a confirmed bTB reactor or a Lesion at Routine Slaughter (LRS). Controls (N = 303 499) were cattle moving to a future confirmed bTB breakdown where they did not become a bTB reactor or LRS. Our study showed that the cattle leaving herds which disclosed bTB within 450 days had an increased odds of becoming a confirmed bTB reactor or LRS compared with the cattle which left herds that remained free for 450 days (odds ratio (OR) = 2·09: 95% CI 1·96-2·22). Of the 12 060 confirmed bTB breakdowns included in our study (2007-2015 inclusive), 31% (95% CI 29·8-31·5) contained a confirmed bTB reactor(s) or LRS(s) at the disclosing test which entered the herd within the previous 450 days. After controlling for the infection process occurring in the disclosing bTB breakdown herd, our study showed that 6·4% (95% CI 5·9-6·8) of bTB breakdowns in Northern Ireland were directly attributable to the movement of infected animals.

Bovine tuberculosis in Northern Ireland: Risk factors associated with duration and recurrence of chronic herd breakdowns.

This study investigated 8058 bovine tuberculosis (bTB) confirmed breakdowns occurring in Northern Ireland during the period 2005-2010 inclusive. The methodology used two case-control studies; one determined the risk factors associated with long duration bTB breakdowns and the other with recurrent bTB breakdowns. The analyses were implemented using a generalized linear mixed model analysis with variables relating to repeated measures on herds, locality and year of breakdown included as random effects. The case definition for long duration breakdowns (n=679) was any confirmed bTB disclosure with duration greater than one year. The case definition for recurrent breakdowns (n=657) was any confirmed bTB disclosure with duration less than one year, followed by two or more bTB breakdowns within 2 years from the end of the initial bTB breakdown. In the multivariable model based on duration of bTB breakdowns, significant factors were local area bTB prevalence, number of associated cattle herds, total years restricted in the previous five years, total number of bTB reactors during the breakdown and the presence of a bTB lesion at routine slaughter (LRS). The number of bTB reactors at the disclosing test was also significant; with increased numbers associated to reduced odds of a long duration breakdown. In the second analysis based on recurrence of bTB breakdowns, high local area prevalence, movement intensity into the herd, total years restricted in the previous five years, herd size, total number of TB reactors during the restricted breakdown and presence of a LRS were all statistically significant.

Bovine tuberculosis in Northern Ireland: risk factors associated with time from post-outbreak test to subsequent herd breakdown.

Compulsory bovine tuberculosis testing has been implemented since 1959 in Northern Ireland. Initial rapid progress in the eradication of the disease was followed by a situation where disease levels tended to fluctuate around a low level. This study explores recrudescence of bovine tuberculosis (bTB) in Northern Ireland herds by assessing risk factors associated with time from the six-month post-outbreak skin test until a further herd breakdown. Bovine herds (n=3377) were recruited in 2002 and 2003 and their survival analysed using Kaplan-Meier survival estimates and a Cox proportional hazards model, with follow-up extending to August 2008. Exclusion criteria applied for study entry were bTB infection in a contiguous herd, changing of post restriction test to one of a higher risk status or chronic infection. Chronic infection was defined as any situation where disclosure preceded the post-outbreak test by two years or more. The application of these exclusion criteria meant that herds recruited to the study were largely cleared of infection and not directly contiguous to other infected herds. Of the 3377 herds, 1402 (41.5%) suffered a further herd breakdown before the end of follow-up. Median survival time was 582 days (interquartile range=336-1002 days). Breakdown severity (defined as the number of Single Intradermal Comparative Tuberculin Test (SICTT) reactors at disclosure test), local bTB prevalence, herd size and type were identified as significant risk factors (p<0.05), as was the purchase of higher numbers (n>27.38 per year) of cattle. Consistent with other studies this work shows bTB confirmation to not be predictive of a future herd breakdown. This work shows bTB history as not being a risk factor for a future breakdown. This result could be reflective of the exclusion criteria used in the study, which may have selected for incidents where historical status was of less importance.