Smith Rebecca L, Schukken Ynte H, Lu Zhao, Mitchell Rebecca M, Grohn Yrjo T
Section of Epidemiology, Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
J Am Vet Med Assoc. 2013 Aug 1;243(3):411-23. doi: 10.2460/javma.243.3.411.
To develop a mathematical model to simulate infection dynamics of Mycobacterium bovis in cattle herds in the United States and predict efficacy of the current national control strategy for tuberculosis in cattle.
Stochastic simulation model.
Theoretical cattle herds in the United States.
A model of within-herd M bovis transmission dynamics following introduction of 1 latently infected cow was developed. Frequency- and density-dependent transmission modes and 3 tuberculin test-based culling strategies (no test-based culling, constant [annual] testing with test-based culling, and the current strategy of slaughterhouse detection-based testing and culling) were investigated. Results were evaluated for 3 herd sizes over a 10-year period and validated via simulation of known outbreaks of M bovis infection.
On the basis of 1,000 simulations (1,000 herds each) at replacement rates typical for dairy cattle (0.33/y), median time to detection of M bovis infection in medium-sized herds (276 adult cattle) via slaughterhouse surveillance was 27 months after introduction, and 58% of these herds would spontaneously clear the infection prior to that time. Sixty-two percent of medium-sized herds without intervention and 99% of those managed with constant test-based culling were predicted to clear infection < 10 years after introduction. The model predicted observed outbreaks best for frequency-dependent transmission, and probability of clearance was most sensitive to replacement rate.
Although modeling indicated the current national control strategy was sufficient for elimination of M bovis infection from dairy herds after detection, slaughterhouse surveillance was not sufficient to detect M bovis infection in all herds and resulted in subjectively delayed detection, compared with the constant testing method. Further research is required to economically optimize this strategy.
建立一个数学模型,以模拟美国牛群中牛分枝杆菌的感染动态,并预测当前国家牛结核病控制策略的效果。
随机模拟模型。
美国的理论牛群。
建立了一个引入1头潜伏感染奶牛后牛群内牛分枝杆菌传播动态的模型。研究了频率依赖性和密度依赖性传播模式以及3种基于结核菌素检测的扑杀策略(不进行基于检测的扑杀、定期[每年]检测并基于检测进行扑杀,以及当前基于屠宰场检测和扑杀的策略)。在10年期间对3种牛群规模的结果进行了评估,并通过模拟已知的牛分枝杆菌感染暴发进行了验证。
基于奶牛典型更替率(0.33/年)进行的1000次模拟(每个模拟1000个牛群),通过屠宰场监测在中型牛群(276头成年牛)中检测到牛分枝杆菌感染的中位时间为引入后27个月,其中58%的牛群在此之前会自发清除感染。预计62%未经干预的中型牛群和99%采用定期基于检测的扑杀管理的牛群在引入后不到10年就会清除感染。该模型对频率依赖性传播的观察到的暴发预测效果最佳,清除感染的概率对更替率最为敏感。
尽管模型表明当前的国家控制策略足以在检测到感染后从奶牛群中消除牛分枝杆菌感染,但与定期检测方法相比,屠宰场监测不足以在所有牛群中检测到牛分枝杆菌感染,并且导致检测主观延迟。需要进一步研究以经济地优化该策略。