Gunasekera Umanga, VanderWaal Kimberly, Arzt Jonathan, Perez Andres
Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St Paul, MN, United States.
Foreign Animal Disease Research Unit, Agricultural Research Service, U.S. Department of Agriculture, Plum Island Animal Disease Center, National Bio and Agro-Defense Facility, Greenport, NY, United States.
Front Vet Sci. 2025 Jun 5;12:1576974. doi: 10.3389/fvets.2025.1576974. eCollection 2025.
Approximately two-thirds of the countries worldwide are considered to be foot and-mouth disease (FMD) infected according to the World Organization for Animal Health (WOAH). The effective reproduction number (Re) is an important indicator to assess disease spread and evaluate the impact of preventive and control measures for FMD and other infectious diseases. Re is defined as the number of secondary infections caused by one infected animal in a susceptible population, accounting for maternal immunity, immunity from previous infections, and vaccination. When estimated at the farm/ herd level or above, this parameter is identified with terms such as Rh or Rf (commonly identified as R in this study).
This study reviews the values of R estimated for FMD globally using empirical data at the farm/herd level or above. The population, intervention, comparison, and outcome (PICO) criteria were used to search different databases and to identify relevant studies, resulting in the identification of 10 peer-reviewed articles from eight different countries within the past 20 years (1994-2024).
Regardless of the diversity of epidemiological scenarios, the R-value of FMD remained from 0 to 13.3 with a median value of 1.68 for above farm level transmission. Results here summarize the expected range of values for R under different epidemiological conditions, contributing to the design and evaluation of prevention and control strategies and, ultimately, mitigating the impact of one of the most impactful livestock diseases worldwide. This review highlights the necessity of further studies due to a limited number of studies calculating R for FMD using empirical data.
根据世界动物卫生组织(WOAH)的数据,全球约三分之二的国家被认为感染了口蹄疫(FMD)。有效繁殖数(Re)是评估疾病传播以及评估口蹄疫和其他传染病预防与控制措施效果的重要指标。Re的定义是在易感种群中由一只感染动物引起的二次感染数量,其中考虑了母源免疫、既往感染产生的免疫以及疫苗接种情况。当在农场/畜群水平及以上进行估算时,该参数用Rh或Rf等术语表示(本研究中通常简称为R)。
本研究回顾了全球利用农场/畜群水平及以上的实证数据估算的口蹄疫R值。采用人群、干预、对照和结局(PICO)标准检索不同数据库并识别相关研究,最终在过去20年(1994 - 2024年)内从八个不同国家识别出10篇经同行评审的文章。
无论流行病学情况如何多样,口蹄疫的R值在农场以上水平传播时仍在0至13.3之间,中位数为1.68。本文结果总结了不同流行病学条件下R值的预期范围,有助于预防和控制策略的设计与评估,最终减轻全球最具影响力的家畜疾病之一的影响。由于使用实证数据计算口蹄疫R值的研究数量有限,本综述强调了进一步研究的必要性。