Section of Veterinary Epidemiology, Vetsuisse Faculty, University of Zürich, Zürich, Switzerland.
Department of Veterinary and Animal Sciences, University of Copenhagen, Copenhagen, Denmark.
Sci Rep. 2024 Jul 15;14(1):16326. doi: 10.1038/s41598-024-67160-0.
Government policy in England aims for the elimination of bovine tuberculosis (bTB). This policy includes culling of European badger (Meles meles) to reduce cattle TB incidence. The rationale is based on a field trial, the Randomised Badger Culling Trial (RBCT) 1998-2005, which reported a substantial decrease in bTB herd incidence where badger culling had been implemented, in comparison to untreated control areas. The RBCT was undertaken because previous studies of reductions in badgers by culling, reported a possible association between bTB in badger and cattle, but none could directly show causation. The effect of intensive widespread (proactive) culling in the RBCT was reported in 2006 in the journal Nature. Analysis of an extensive badger removal programme in England since 2013 has raised concerns that culling has not reduced bTB herd incidence. The present study re-examined RBCT data using a range of statistical models. Most analytical options showed no evidence to support an effect of badger culling on bTB herd incidence 'confirmed' by visible lesions and/or bacterial culture post mortem following a comparative intradermal skin test (SICCT). However, the statistical model chosen by the RBCT study was one of the few models that showed an effect. Various criteria suggest that this was not an optimal model, compared to other analytical options available. The most likely explanation is that the RBCT proactive cull analysis over-fitted the data with a non-standard method to control for exposure giving it a poor predictive value. Fresh appraisal shows that there was insufficient evidence to conclude RBCT proactive badger culling affected bTB breakdown incidence. The RBCT found no evidence of an effect of culling on 'total' herd incidence rates. Total herd incidences include those confirmed as bTB at necropsy and those herds where there was at least one animal animal positive to the comparative intradermal skin test, the standard diagnostic test used for routine surveillance, but not confirmed at necropsy. This was also the case using the more suitable statistical models. Use only of 'confirmed' herd incidence data, together with a more recent (2013) published perception that RBCT data presented 'a strong evidence base….with appropriate detailed statistical or other quantitative analysis' should be reconsidered. The results of the present report are consistent with other analyses that were unable to detect any disease control benefits from badger culling in England (2013-2019). This study demonstrates one form of potential driver to the reproducibility crisis, in this case with disease control management in an increasingly intensified livestock industry.
英格兰政府的政策旨在消除牛结核病(bTB)。该政策包括扑杀欧洲獾(Meles meles)以降低牛结核病的发病率。这一理论依据是基于 1998 年至 2005 年开展的一项实地试验——随机獾扑杀试验(RBCT),该试验报告称,在实施獾扑杀的地区,牛结核病畜群发病率有了实质性下降,而未实施扑杀的对照地区则没有。开展 RBCT 的原因是,此前关于通过扑杀减少獾数量的研究报告称,獾中的 bTB 与牛之间可能存在关联,但都无法直接证明因果关系。2006 年,《自然》杂志报道了 RBCT 中广泛(主动)扑杀的效果。自 2013 年以来,对英格兰大规模獾清除计划的分析引起了人们的担忧,即扑杀并没有降低牛结核病畜群的发病率。本研究使用一系列统计模型重新分析了 RBCT 数据。大多数分析选项都没有证据支持獾扑杀对通过死后肉眼可见病变和/或细菌培养“确诊”的 bTB 畜群发病率有影响,而死后肉眼可见病变和/或细菌培养是在比较皮内皮肤试验(SICCT)后进行的。然而,RBCT 研究选择的统计模型是少数几个显示有影响的模型之一。各种标准表明,与其他可用的分析选项相比,这并不是一个最佳模型。最有可能的解释是,RBCT 主动扑杀分析使用了一种非标准方法来控制暴露,从而过度拟合了数据,导致其预测值较差。新的评估表明,没有足够的证据得出 RBCT 主动獾扑杀影响 bTB 暴发发病率的结论。RBCT 没有发现扑杀对“总”畜群发病率有影响的证据。总畜群发病率包括通过尸检确诊的 bTB 以及那些至少有一只动物对比较皮内皮肤试验呈阳性的畜群,比较皮内皮肤试验是用于常规监测的标准诊断试验,但未经尸检确诊。使用更合适的统计模型也是如此。只使用“确诊”畜群发病率数据,再加上最近(2013 年)出版的观点,即 RBCT 数据提供了“强有力的证据基础……有适当的详细统计或其他定量分析”,应该重新考虑。本报告的结果与其他未能从英格兰的獾扑杀中发现任何疾病控制益处的分析一致(2013-2019 年)。本研究证明了一种潜在的重现性危机的驱动因素,在这种情况下,与日益强化的畜牧业中的疾病控制管理有关。