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Modelling the effectiveness and risks of vaccination strategies to control classical swine fever epidemics

机译:模拟控制经典猪瘟流行的疫苗接种策略的有效性和风险

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摘要

In a recent update of the Dutch contingency plan for controlling outbreaks of classical swine fever (CSF), emergency vaccination is preferred to large-scale pre-emptive culling. This policy change raised two questions: can emergency vaccination be as effective as pre-emptive culling, and what are the implications for showing freedom of infection? Here, we integrate quantitative information available on CSF virus transmission and vaccination effects into a stochastic mathematical model that describes the transmission dynamics at the level of animals, farms and livestock areas. This multilevel approach connects individual-level interventions to large-scale effects. Using this model, we compare the performance of five different control strategies applied to hypothetical CSF epidemics in The Netherlands and, for each of these strategies, we study the properties of three different screening scenarios to show freedom of infection. We find that vaccination in a ring of 2 km radius around a detected infection source is as effective as ring culling in a 1 km radius. Feasible screening scenarios, adapted to the use of emergency vaccination, can reduce the enhanced risks of (initially) undetected farm outbreaks by targeting vaccinated farms. Altogether, our results suggest that emergency vaccination against CSF can be equally effective and safe as pre-emptive culling.
机译:在荷兰控制经典猪瘟(CSF)爆发的应急计划的最新更新中,紧急疫苗接种比大规模先发扑杀更可取。这项政策变化引发了两个问题:紧急疫苗接种能否像先发制人的扑杀一样有效,以及显示感染自由的含义是什么?在这里,我们将有关CSF病毒传播和疫苗接种效果的定量信息整合到一个随机数学模型中,该模型描述了动物,农场和牲畜区域一级的传播动态。这种多层次的方法将个人层次的干预措施与大规模的影响联系起来。使用该模型,我们比较了应用于假设的脑脊液流行病的五种不同控制策略在荷兰的表现,对于每种策略,我们研究了三种不同筛查方案的特性以显示感染的自由度。我们发现,在检测到的感染源周围半径2千米的环中进行疫苗接种与在半径1千米的环中进行环剔除一样有效。适应紧急疫苗接种情况的可行筛查方案可以通过针对接种疫苗的农场降低(最初)未被发现的农场暴发的风险。总而言之,我们的结果表明,针对脑脊液的紧急疫苗接种可以像先发制人的扑杀一样有效和安全。

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