| Literature DB >> 23236478 |
Katerina Karolemeas1, Christl A Donnelly, Andrew J K Conlan, Andrew P Mitchell, Richard S Clifton-Hadley, Paul Upton, James L N Wood, Trevelyan J McKinley.
Abstract
Bovine tuberculosis is endemic in cattle herds in Great Britain, with a substantial economic impact. A reservoir of Mycobacterium bovis within the Eurasian badger (Meles meles) population is thought to have hindered disease control. Cattle herd incidents, termed breakdowns, that are either 'prolonged' (lasting ≥ 240 days) or 'recurrent' (with another breakdown within a specified time period) may be important foci for onward spread of infection. They drain veterinary resources and can be demoralising for farmers. Randomised Badger Culling Trial (RBCT) data were re-analysed to examine the effects of two culling strategies on breakdown prolongation and recurrence, during and after culling, using a Bayesian hierarchical model. Separate effect estimates were obtained for the 'core' trial areas (where culling occurred) and the 'buffer' zones (up to 2 km outside of the core areas). For breakdowns that started during the culling period, 'reactive' (localised) culling was associated with marginally increased odds of prolongation, with an odds ratio (OR) of 1.7 (95% credible interval [CI] 1.1-2.4) within the core areas. This effect was not present after the culling ceased. There was no notable effect of 'proactive' culling on prolongation. In contrast, reactive culling had no effect on breakdown recurrence, though there was evidence of a reduced risk of recurrence in proactive core areas during the culling period (ORs and 95% CIs: 0.82 (0.64-1.0) and 0.69 (0.54-0.86) for 24- and 36-month recurrence respectively). Again these effects were not present after the culling ceased. There seemed to be no effect of culling on breakdown prolongation or recurrence in the buffer zones. These results suggest that the RBCT badger culling strategies are unlikely to reduce either the prolongation or recurrence of breakdowns in the long term, and that reactive strategies (such as employed during the RBCT) are, if anything, likely to impact detrimentally on breakdown persistence.Entities:
Mesh:
Year: 2012 PMID: 23236478 PMCID: PMC3517421 DOI: 10.1371/journal.pone.0051342
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Numbers of cases (prolonged) and controls (non-prolonged), and the proportion prolonged, for the different treatment areas aggregated across the core and buffer zones.
| Core | Buffer | |||||||
| Treatment | Cases | Controls | Total | Proportion | Cases | Controls | Total | Proportion |
| Proactive | 460 | 893 | 1353 | 0.34 | 371 | 650 | 1021 | 0.36 |
| Reactive | 437 | 750 | 1187 | 0.37 | 298 | 535 | 833 | 0.36 |
| Survey | 686 | 1214 | 1900 | 0.36 | 399 | 796 | 1195 | 0.33 |
Odds Ratios and 95% credible intervals– relative to a baseline of survey-only core areas–for prolongation in the different treatment areas in the periods during and after the culling; adjusted for breakdown confirmation status.
| Core | Buffer | |||
| During | After | During | After | |
|
| 0.95 (0.76–1.1) | |||
|
| 1.7 (1.1–2.4) | 0.97 (0.79–1.2) | 1.2 (0.69–2.1) | 1.2 (0.92–1.5) |
|
| 1.1 (0.87–1.4) | 0.98 (0.79–1.2) | 1.3 (0.94–1.7) | 1.0 (0.79–1.4) |
Results are further stratified into core and buffer zones.
Numbers of cases (recurrent) and controls (non-recurrent), and the proportion recurrent, for the different treatment areas aggregated across the core and buffer zones and stratified by follow-up.
| Core | Buffer | ||||||||
| Follow-up | Treatment | Cases | Controls | Total | Proportion | Cases | Controls | Total | Proportion |
| Proactive | 309 | 676 | 985 | 0.31 | 209 | 505 | 714 | 0.29 | |
| 12 months | Reactive | 338 | 616 | 954 | 0.35 | 251 | 427 | 678 | 0.37 |
| Survey | 479 | 900 | 1379 | 0.35 | 266 | 571 | 837 | 0.32 | |
| Proactive | 458 | 513 | 971 | 0.47 | 351 | 373 | 724 | 0.48 | |
| 24 months | Reactive | 498 | 442 | 940 | 0.53 | 336 | 316 | 652 | 0.52 |
| Survey | 698 | 697 | 1395 | 0.50 | 436 | 439 | 875 | 0.50 | |
| Proactive | 475 | 360 | 835 | 0.57 | 370 | 262 | 632 | 0.59 | |
| 36 months | Reactive | 524 | 283 | 807 | 0.65 | 342 | 210 | 552 | 0.62 |
| Survey | 768 | 477 | 1245 | 0.62 | 458 | 328 | 786 | 0.58 | |
Odds Ratios and 95% credible intervals (in parentheses)–relative to a baseline of survey-only core areas–for recurrence in the different treatment areas in the periods during and after the culling; adjusted for herd size, number of reactors, and breakdown history in the previous three years.
| Core | Buffer | ||||
| Follow-up | Treatment | During | After | During | After |
| Survey | 0.89 (0.71–1.1) | ||||
| 12 months | Reactive | 1.1 (0.73–1.6) | 0.92 (0.74–1.1) | 1.3 (0.77–2.0) | 1.2 (0.93–1.6) |
| Proactive | 0.86 (0.66–1.1) | 0.85 (0.66–1.1) | 0.85 (0.60–1.2) | 0.89 (0.65–1.2) | |
| Survey | 1.0 (0.84–1.2) | ||||
| 24 months | Reactive | 1.1 (0.76–1.5) | 1 (0.84–1.3) | 0.86 (0.54–1.3) | 1.1 (0.85–1.4) |
| Proactive | 0.82 (0.64–1.0) | 0.99 (0.77–1.3) | 0.88 (0.67–1.1) | 0.96 (0.72–1.3) | |
| Survey | 0.89 (0.72–1.1) | ||||
| 36 months | Reactive | 0.99 (0.70–1.4) | 1.1 (0.86–1.4) | 0.78 (0.48–1.2) | 1.3 (0.99–1.7) |
| Proactive | 0.69 (0.54–0.86) | 1.2 (0.84–1.5) | 1.0 (0.75–1.3) | 1.0 (0.72–1.5) | |
Models are fitted to each follow-up period (12, 24 and 36 months) separately. Results are further stratified into core and buffer zones.
Odds Ratios (ORs) and 95% credible intervals (in parentheses) of recurrence for the nuisance variables in the recurrent breakdown analyses.
| Follow-up | Breakdown history | Max. herd size | Total no. of reactors |
| 12 months | 1.5 (1.3–1.7) | 1 (0.97–1.1) | 1.1 (1.1–1.2) |
| 24 months | 1.4 (1.2–1.6) | 1 (0.93–1.1) | 1.1 (1.1–1.2) |
| 36 months | 1.5 (1.3–1.8) | 1 (0.97–1.1) | 1.1 (1.1–1.2) |
The OR for breakdown history is defined relative to having no breakdowns in the previous three years; the OR for the maximum herd size is per unit log-increase in herd size, and likewise for the total number of reactors. Models are fitted to each follow-up period (12, 24 and 36 months) separately.
Figure 1Plot showing the proportions of breakdowns starting in each year for each persistence category, stratified by culling treatment.
Panels show prolonged breakdowns (A), recurrent breakdowns at 12 months (B), recurrent breakdowns at 24 months (C) and recurrent breakdowns at 36 months (D).