Departament de Sanitat i Anatomia Animals, Universitat Autònoma de Barcelona (UAB), 08193 Bellaterra, Barcelona, Spain.
Departament de Sanitat i Anatomia Animals, Universitat Autònoma de Barcelona (UAB), 08193 Bellaterra, Barcelona, Spain; ISGlobal (Barcelona Institute for Global Health - Epidemiology of Cancer), Campus MAR, Barcelona Biomedical Research Park (PRBB), 08003 Barcelona, Spain.
Epidemics. 2018 Jun;23:110-120. doi: 10.1016/j.epidem.2018.01.003. Epub 2018 Jan 31.
In Spain, despite years of efforts to eradicate bovine tuberculosis (bTB), the disease is still endemic, with some areas of high prevalence. In this context, the surveillance and control plans may need to be re-evaluated, and understanding the dynamics of bTB spread within Spanish herds may help to develop new strategies for reducing the time for detection of infected herds and for the elimination of bTB from the herds already infected. Here, we developed a compartmental stochastic model to simulate bTB within-herd transmission, fed it with epidemiological data from 22 herds (obtained from a previous work) and carried out parameter inference using Approximate Bayesian Computing methods We also estimated the "Within-herd transmission potential Number" (R), i.e. the average number of secondary cases generated by a single animal infected introduced into a totally susceptible herd, considering different scenarios depending on the frequency of controls. The median global values obtained for the transmission parameters were: for the transmission coefficient (β), 0.014 newly infected animals per infectious individual per day (i.e. 5.2 per year), for the rate at which infected individuals become infectious (α), 0.01 per day (equivalent to a latent period of 97 days), and for the rate at which infected individuals become reactive to the skin test (α), 0.08 per day (equivalent to a period of 12 days for an infected animal to become reactive). However, the results also evidenced a great variability in the estimates of those parameters (in particular β and α) among the 22 herds. Considering a 6-month interval between tests, the mean R was 0.23, increasing to 0.82 with an interval of 1 year, and to 2.01 and 3.47 with testing intervals of 2 and 4 years, respectively.
在西班牙,尽管多年来一直努力根除牛结核病(bTB),但该疾病仍在流行,一些地区的患病率很高。在这种情况下,可能需要重新评估监测和控制计划,了解 bTB 在西班牙牛群中的传播动态可能有助于制定新的策略,以减少发现感染牛群的时间,并从已感染的牛群中消除 bTB。在这里,我们开发了一个隔室随机模型来模拟 bTB 在牛群内的传播,用 22 个牛群的流行病学数据(从前一项工作中获得)来喂养它,并使用近似贝叶斯计算方法进行参数推断。我们还根据不同的控制频率,估计了“牛群内传播潜力数”(R),即每个感染个体引入完全易感牛群中产生的继发性病例的平均数量。对于传播参数,我们获得了全球中位数的估计值:对于传播系数(β),每个传染性个体每天新感染的动物数量为 0.014 只(即每年 5.2 只),对于感染个体变得具有传染性的速度(α),每天 0.01 (相当于 97 天的潜伏期),对于感染个体对皮肤测试变得有反应的速度(α),每天 0.08 (相当于感染动物对皮肤测试有反应的 12 天潜伏期)。然而,结果还表明,在 22 个牛群中,这些参数(特别是β和α)的估计值存在很大的可变性。考虑到两次测试之间的 6 个月间隔,R 的平均值为 0.23,间隔 1 年增加到 0.82,间隔 2 年和 4 年分别增加到 2.01 和 3.47。