Department of Veterinary Tropical Diseases, Faculty of Veterinary Science, University of Pretoria, Private Bag X04, 0110 Onderstepoort, South Africa.
Vet Parasitol. 2011 May 11;177(3-4):212-23. doi: 10.1016/j.vetpar.2009.10.025. Epub 2009 Nov 22.
This article is the first of a series aimed at developing specific decision support software for on-farm optimisation of sustainable integrated management of haemonchosis. It contains a concept framework for such a system for use by farmers and/or their advisors but, as reported in the series, only the first steps have been taken on the road to achieve this goal. Anthelmintic resistance has reached such levels of prevalence and intensity that recently it evoked the comment that for small ruminants the final phase of resistance was being entered, without effective chemotherapeutic agents on some farms with which to control worms at a level commensurate with profitable animal production. In addition, in the case of cattle, a recent survey in New Zealand showed 92% of worm populations to be resistant to at least one anthelmintic group. Ironically, new technology, such as the FAMACHA(©) system which was devised for sustainable management of haemonchosis, is at present being adopted relatively slowly by the majority of farmers and it is suggested that an important reason for this is the complexity of integration of new methods with epidemiological factors. The alternatives to the simple drenching programmes of the past are not only more difficult to manage, but are also more labour-intensive. The problem is further complicated by a progressive global shortage of persons with the necessary experience to train farmers in the new methods. The opinion is advanced that only computerised, automated decision support software can optimise the integration of the range of factors (such as rainfall, temperature, host age and reproductive status, pasture type, history of host and pasture infection, and anthelmintic formulation) for more sustainable worm management than is obtainable with present methods. Other than the conventional method (in which prospective analysis of laboratory and other data is mainly used to suggest when strategic prophylactic drenching of all animals for preventing excessive helminthosis should be conducted during the relevant worm season), the computer model being proposed is to be based on targeted selective treatment, supported by progressive periodic retrospective analysis of clinical data of a given worm season. It is emphasised that, in order not to repeat the mistakes of the past, such an automated support system should ideally be developed urgently in a attempt to engineer greater sustainability of any unrelated new anthelmintics which may reach the market.
本文是一系列旨在为农场优化可持续综合管理血矛线虫病开发特定决策支持软件的首篇文章。它包含了一个用于农民和/或其顾问的系统概念框架,但正如该系列报道的那样,在实现这一目标的道路上,我们只迈出了第一步。抗蠕虫药物的耐药性已经达到了如此普遍和严重的程度,以至于最近有人评论说,对于小反刍动物来说,它们已经进入了耐药性的最后阶段,在一些农场,由于没有有效的化学治疗药物,无法将蠕虫控制在与盈利性动物生产相称的水平。此外,在牛的情况下,新西兰最近的一项调查显示,92%的蠕虫种群至少对一种驱虫药物组具有耐药性。具有讽刺意味的是,新技术,如 FAMACHA(©)系统,最初是为可持续管理血矛线虫病而设计的,但目前大多数农民采用的速度相对较慢,有人认为,一个重要的原因是将新方法与流行病学因素整合的复杂性。过去简单的驱虫方案的替代方案不仅更难管理,而且劳动强度也更大。由于全球缺乏必要经验的人员来培训农民使用新方法,这个问题变得更加复杂。有人认为,只有计算机化、自动化的决策支持软件才能优化一系列因素(如降雨量、温度、宿主年龄和繁殖状况、牧场类型、宿主和牧场感染史以及驱虫药物配方)的整合,从而实现比目前方法更可持续的蠕虫管理。除了常规方法(主要使用实验室和其他数据的前瞻性分析来建议在相关蠕虫季节期间对所有动物进行战略性预防性驱虫以防止过度寄生虫病)外,所提出的计算机模型将基于靶向选择性治疗,辅以对给定蠕虫季节的临床数据进行渐进性定期回顾性分析。需要强调的是,为了避免重蹈覆辙,这种自动化支持系统应尽快紧急开发,以尝试设计出任何可能进入市场的新驱虫药物的可持续性。