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Using scenario tree modelling for targeted herd sampling to substantiate freedom from disease

机译:使用方案树建模进行有针对性的畜群采样,以证实没有疾病

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Background In order to optimise the cost-effectiveness of active surveillance to substantiate freedom from disease, a new approach using targeted sampling of farms was developed and applied on the example of infectious bovine rhinotracheitis (IBR) and enzootic bovine leucosis (EBL) in Switzerland. Relevant risk factors (RF) for the introduction of IBR and EBL into Swiss cattle farms were identified and their relative risks defined based on literature review and expert opinions. A quantitative model based on the scenario tree method was subsequently used to calculate the required sample size of a targeted sampling approach (TS) for a given sensitivity. We compared the sample size with that of a stratified random sample (sRS) with regard to efficiency. Results The required sample sizes to substantiate disease freedom were 1,241 farms for IBR and 1,750 farms for EBL to detect 0.2% herd prevalence with 99% sensitivity. Using conventional sRS, the required sample sizes were 2,259 farms for IBR and 2,243 for EBL. Considering the additional administrative expenses required for the planning of TS, the risk-based approach was still more cost-effective than a sRS (40% reduction on the full survey costs for IBR and 8% for EBL) due to the considerable reduction in sample size. Conclusions As the model depends on RF selected through literature review and was parameterised with values estimated by experts, it is subject to some degree of uncertainty. Nevertheless, this approach provides the veterinary authorities with a promising tool for future cost-effective sampling designs.
机译:背景技术为了优化主动监测以确保无病的成本效益,开发了一种使用有针对性的农场采样的新方法,并将其应用于瑞士的传染性牛鼻气管炎(IBR)和牛源性牛白血病(EBL)的实例。根据文献综述和专家意见,确定了将IBR和EBL引入瑞士养牛场的相关风险因素(RF),并确定了其相对风险。随后使用基于方案树方法的定量模型来计算给定灵敏度下目标抽样方法(TS)所需的样本量。在效率方面,我们将样本大小与分层随机样本(sRS)的大小进行了比较。结果证实疾病自由所需的样本量为1,241个IBR养殖场和1,750个EBL养殖场,以检测0.2%的畜群流行率和99%的敏感性。使用传统的sRS,所需的样本量为IBR的2,259个农场和EBL的2,243个农场。考虑到TS计划所需的额外管理费用,基于风险的方法仍比sRS更具成本效益(由于IBR的总调查成本降低了40%,EBL降低了8%),尺寸。结论由于该模型取决于通过文献综述选择的RF,并由专家估计的值进行参数化,因此存在一定程度的不确定性。然而,这种方法为兽医当局提供了一种有前途的工具,可用于未来具有成本效益的采样设计。

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