Ersbøll Annette Kjær, Nielsen Liza Rosenbaum
University of Southern Denmark, National Institute of Public Health, Øster Farimagsgade 5A, DK-1353 København K, Denmark.
Spat Spatiotemporal Epidemiol. 2011 Sep;2(3):195-204. doi: 10.1016/j.sste.2011.07.003. Epub 2011 Jul 20.
Salmonella Dublin is the most commonly isolated Salmonella serotype in Danish cattle and leads to economic and welfare losses in infected herds. Furthermore, it leads to high mortality in human cases. A national surveillance program for Salmonella Dublin was initiated in Denmark in October 2002. This study aimed at modelling the progress and spatial patterns during the control of Salmonella Dublin in dairy herds in the Jutland peninsula in Denmark, especially differences between regions and years. A total of 6331 dairy herds were included during 2003-2009. Antibody measurements of bulk-tank milk samples were used for testing herd-level Salmonella status in these dairy herds. Risk maps were estimated as prevalence intensity maps. Spatial clustering was analysed using scan statistics and SMR was estimated. In 2003, the prevalence of Salmonella Dublin test-positive dairy herds was 24%. It decreased to 12% in 2009. Prevalence intensity maps showed large differences in the reduction of Salmonella Dublin test-positive herds. The number of clusters reduced during the study period. However, throughout the study period two clusters remained significant. Differences were seen in the progress of the control between regions over the years. The implementation and effectiveness of the control program was different between regions. The progress of control was seen to vary not only between regions, but also over time influencing infection dynamics. Thus, recommendations and regionally targeted efforts during control campaigns are needed.
都柏林沙门氏菌是丹麦牛群中最常分离出的沙门氏菌血清型,会给受感染牛群带来经济和福利损失。此外,它还会导致人类感染病例的高死亡率。丹麦于2002年10月启动了一项针对都柏林沙门氏菌的国家监测计划。本研究旨在模拟丹麦日德兰半岛奶牛场控制都柏林沙门氏菌过程中的进展和空间模式,特别是不同地区和年份之间的差异。2003年至2009年期间共纳入了6331个奶牛场。通过对大容量储存罐牛奶样本进行抗体检测,来测试这些奶牛场的牛群水平沙门氏菌感染状况。风险地图被估计为患病率强度地图。使用扫描统计分析空间聚集情况,并估计标准化发病比。2003年,都柏林沙门氏菌检测呈阳性的奶牛场患病率为24%。到2009年降至12%。患病率强度地图显示,都柏林沙门氏菌检测呈阳性的牛群减少情况存在很大差异。在研究期间,聚集区数量减少。然而,在整个研究期间,有两个聚集区仍然显著。多年来,不同地区在控制进展方面存在差异。控制计划的实施和效果在不同地区有所不同。控制进展不仅在不同地区有所不同,而且随着时间推移会影响感染动态。因此,在控制行动期间需要提出建议并开展有针对性的地区性工作。