Porphyre Thibaud, Stevenson Mark A, McKenzie Joanna
EpiCentre, Institute of Veterinary, Animal, and Biomedical Sciences, Massey University, Private Bag 11-222, Palmerston North, New Zealand.
Prev Vet Med. 2008 Aug 15;86(1-2):93-106. doi: 10.1016/j.prevetmed.2008.03.008. Epub 2008 May 13.
This paper reports the investigation of farm-level risk factors for confirmed bovine tuberculosis (TB), based on a retrospective cohort study of a population of cattle in the lower North Island of New Zealand. Data were obtained from the TB testing surveillance programme operational in this area since the mid-1970s and comprised 190,665 cattle-years at risk from July 1980 to June 2004 (inclusive). A mixed-effects Poisson regression model was used to investigate the influence of farm-level covariates on the number of cattle confirmed with TB throughout the study period. This model was interpreted in context of depopulation strategies for the wildlife reservoir for TB, the brushtail possum Trichosurus vulpecula, that were applied in this area. The model showed that, despite intensification of possum control strategies over time, proximity to forest parks (a principal possum habitat in this area) remained a significant predictor of the number of confirmed cases of TB detected per farm per year. Our analyses showed a significant, three-fold increase in TB risk in dairy cattle relative to beef conditional on the size of local possum habitat, and confirmed the positive influence of cattle population size and the presence of previous infection status as a determinant of the number of confirmed TB cases per farm per year.
本文基于对新西兰北岛下部一群牛的回顾性队列研究,报告了确诊牛结核病(TB)的农场层面风险因素调查。数据来自自20世纪70年代中期以来在该地区实施的结核病检测监测计划,涵盖了1980年7月至2004年6月(含)期间190,665个牛年的风险数据。使用混合效应泊松回归模型来研究农场层面协变量对整个研究期间确诊结核病牛数量的影响。该模型是在针对该地区结核病野生动物宿主——帚尾袋貂(Trichosurus vulpecula)的种群减少策略背景下进行解读的。该模型表明,尽管随着时间的推移负鼠控制策略不断强化,但靠近森林公园(该地区负鼠的主要栖息地)仍然是每年每个农场确诊结核病病例数量的一个重要预测因素。我们的分析表明,在当地负鼠栖息地规模的条件下,奶牛患结核病的风险相对于肉牛显著增加了三倍,并证实了牛群规模以及先前感染状况的存在对每年每个农场确诊结核病病例数量的积极影响。