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Implications of leaky boundaries for compartmentalised control of pathogens: A modelling case study for bacterial kidney disease in Scottish salmon aquaculture

机译:泄漏边界对病原体分区控制的意义:苏格兰鲑鱼养殖中细菌性肾脏疾病的模型案例研究

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Compartmentalisation is the focusing of disease control measures on valued and epidemiologically isolatable populations. However, pathogens may transmit across compartment boundaries and undermine local control measures. Bacterial kidney disease (BKD) affects both salmon and trout farms and a compartmentalised management programme has been adopted for Scotland with BKD more rigorously controlled in salmon farming regions. Undetected subclinical infection is an important uncertainty in BKD management. An existing epidemiological model has been adapted to assess the impact of external infection on the salmon compartment. The model has been modified to split infection pressure between exogenous (input) and endogenous (internal) spread, keeping the total infection pressure required to maintain the observed prevalence at steady-state. Model results suggest that BKD's persistence in salmon is dependent on input from trout or other external sources, even though these inputs are rare. Inputs also make it impossible to remove all risk of BKD occurring in salmon, although exclusion of BKD may be possible for long periods. BKD prevalence in salmon is likely to change in response to changes in other compartments, but any response will be less than linear. By far the largest predicted increases in BKD in Scottish salmon would occur if movement controls were to be lifted from salmon farms that are known to be infected. The model should have wider application to situations where pathogens are being eradicated from, or controlled within, specific compartments of multi-compartment systems and can be used to guide the appropriate balance between intensity of boundary and internal controls to minimise disease occurrence in control compartments.
机译:分区化是将疾病控制措施的重点放在有价值的和流行病学上可隔离的人群上。但是,病原体可能会越过隔室边界传播并破坏局部控制措施。细菌性肾脏病(BKD)影响鲑鱼和鳟鱼养殖场,苏格兰已经采用了隔离管理计划,在鲑鱼养殖地区对BKD的控制更为严格。未检测到的亚临床感染是BKD管理中的重要不确定因素。现有的流行病学模型已进行调整,以评估外部感染对鲑鱼区室的影响。该模型已经过修改,可以在外源(输入)和内源(内部)传播之间划分感染压力,从而使维持观察到的患病率处于稳定状态所需的总感染压力保持不变。模型结果表明,BKD在鲑鱼中的持久性取决于鳟鱼或其他外部来源的投入,尽管这些投入很少。尽管长期排除BKD可能,但投入也无法消除鲑鱼中发生BKD的所有风险。鲑鱼中BKD的发生率可能会随着其他区室的变化而变化,但任何响应都将小于线性变化。到目前为止,如果要从已知感染鲑鱼的养殖场中解除运动控制措施,苏格兰鲑鱼中BKD的最大增加预计将发生。该模型应更广泛地应用于从多隔室系统的特定隔室中根除或控制病原体的情况,并且可以用于指导边界强度和内部控制强度之间的适当平衡,以最大程度地减少控制隔室中的疾病发生。

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