Little Ruth A
Department of Geography, University of Sheffield, Sheffield, United Kingdom.
Front Vet Sci. 2019 Mar 26;6:81. doi: 10.3389/fvets.2019.00081. eCollection 2019.
Bovine tuberculosis (bTB) is an epidemiologically, politically, and socially complex disease. Across multiple international contexts, policy makers have struggled to balance the competing demands of wildlife and agricultural interests in their efforts to create workable and effective disease management strategies. This paper draws comparative lessons between the cases of Michigan in the USA and the UK to exemplify some of the challenges of developing an effective strategy for the long-term control of endemic disease, particularly reflecting on efforts to "responsibilise" cattle producers and engage them in proactive activities to mitigate transmission risks on their own farms. Using qualitative data derived from 22 stakeholder interviews, it is argued that the management of bTB in Michigan has important lessons for the UK on the role of human dimensions in influencing the direction of disease control. The management of endemic bTB relies on the actions of individuals to minimise risk and, in contrast to the predominantly voluntary approach pursued in the UK, Michigan has shifted the emphasis towards obtaining producer support for wildlife risk mitigation and biosecurity via a mix of regulatory, fiscal, and social interventions. Whilst the scale of the bTB challenge differs between these two contexts, analysis of the different ideological bases for selecting management approaches offers interesting insights on the role of negotiated outcomes in attempts to adaptively manage a disease that is characterised by complexity and uncertainty.
牛结核病(bTB)是一种在流行病学、政治和社会层面都很复杂的疾病。在多个国际背景下,政策制定者在努力制定可行且有效的疾病管理策略时,一直在努力平衡野生动物和农业利益之间相互冲突的需求。本文比较了美国密歇根州和英国的案例,以举例说明制定长期控制地方病的有效策略所面临的一些挑战,特别是反思为使养牛户 “承担责任” 并促使他们积极采取行动降低自家农场疾病传播风险所做的努力。通过对22次利益相关者访谈得出的定性数据,本文认为密歇根州牛结核病的管理在人为因素对疾病控制方向的影响方面给英国提供了重要经验教训。地方病牛结核病的管理依赖于个人采取行动将风险降至最低,与英国主要采用的自愿方式不同,密歇根州已将重点转向通过监管、财政和社会干预措施相结合的方式,获得养殖者对减轻野生动物风险和生物安全措施的支持。虽然这两种情况下牛结核病挑战的规模有所不同,但分析选择管理方法的不同思想基础,能为协商结果在适应性管理这种具有复杂性和不确定性的疾病的尝试中所起的作用提供有趣的见解。