Kevin M Bakker1,2, Tonie E Rocke3, Jorge E Osorio4, Rachel C Abbott3, Carlos Tello5, Jorge E Carrera6, William Valderrama5,7, Carlos Shiva8, Nestor Falcon8, Daniel G Streicker9,10. 1. Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. bakkerke@umich.edu. 2. Department of Statistics, University of Michigan, Ann Arbor, MI, USA. bakkerke@umich.edu. 3. US Geological Survey, National Wildlife Health Center, Madison, WI, USA. 4. Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, WI, USA. 5. ILLARIY (Asociación para el Desarrollo y Conservación de los Recursos Naturales), Lima, Peru. 6. Facultad de Ciencias, Universidad Nacional de Piura, Piura, Peru. 7. Universidad Autonoma de Barcelona, Barcelona, Spain. 8. Facultad de Medicina Veterinaria y Zootecnia, Universidad Peruana Cayetano, Lima, Peru. 9. Institute of Biodiversity, Animal Health and Comparative Medicine, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK. daniel.streicker@glasgow.ac.uk. 10. MRC-University of Glasgow Centre for Virus Research, Glasgow, UK. daniel.streicker@glasgow.ac.uk.
Abstract
Vaccines that autonomously transfer among individuals have been proposed as a strategy to control infectious diseases within inaccessible wildlife populations. However, rates of vaccine spread and epidemiological efficacy in real-world systems remain elusive. Here, we investigate whether topical vaccines that transfer among individuals through social contacts can control vampire bat rabies-a medically and economically important zoonosis in Latin America. Field experiments in three Peruvian bat colonies, which used fluorescent biomarkers as a proxy for the bat-to-bat transfer and ingestion of an oral vaccine, revealed that vaccine transfer would increase population-level immunity up to 2.6 times beyond the same effort using conventional, non-spreadable vaccines. Mathematical models showed that observed levels of vaccine transfer would reduce the probability, size and duration of rabies outbreaks, even at low but realistically achievable levels of vaccine application. Models further predicted that existing vaccines provide substantial advantages over culling bats-the policy currently implemented in North, Central and South America. Linking field studies with biomarkers to mathematical models can inform how spreadable vaccines may combat pathogens of health and conservation concern before costly investments in vaccine design and testing.
Vaccines that autonomously transfer among individuals have been proposed as a strategy to control infectious diseases within inaccessible wildlife populations. However, rates of vaccine spread and epidemiological efficacy in real-world systems remain elusive. Here, we investigate whether topical vaccines that transfer among individuals through social contacts can control vampire bat rabies-a medically and economically important zoonosis in Latin America. Field experiments in three Peruvian bat colonies, which used fluorescent biomarkers as a proxy for the bat-to-bat transfer and ingestion of an oral vaccine, revealed that vaccine transfer would increase population-level immunity up to 2.6 times beyond the same effort using conventional, non-spreadable vaccines. Mathematical models showed that observed levels of vaccine transfer would reduce the probability, size and duration of rabies outbreaks, even at low but realistically achievable levels of vaccine application. Models further predicted that existing vaccines provide substantial advantages over culling bats-the policy currently implemented in North, Central and South America. Linking field studies with biomarkers to mathematical models can inform how spreadable vaccines may combat pathogens of health and conservation concern before costly investments in vaccine design and testing.
Infectious diseases of wildlife cause threats to human and animal health
globally [1]. Controlling these pathogens
within their natural animal hosts can offer substantial health, economic, and
conservation benefits. For example, baited vaccines targeting wildlife reservoirs
eliminated fox rabies from western Europe [2]
and currently confine raccoon rabies to the eastern United States [3]. However, for many important wildlife
diseases, delivery systems to vaccinate a sufficient proportion of host populations
to control pathogens are unavailable, and direct (i.e., individual-based)
vaccination is logistically prohibitive. Interventions that spread from treated to
untreated individuals are increasingly used to control arthropod-borne diseases
[4, 5, 6] and have been proposed as a
solution to mass vaccinate wildlife since each unit of vaccine deployed would
immunise multiple individuals [7, 8]. However, as seen with poliovirus eradication
efforts, vaccines that sustain transmission may revert to virulent phenotypes [9], and in wildlife, vaccine shedding may have
unanticipated ecological or evolutionary impacts on competing pathogens or host
species [10]. Vaccines with deliberately
constrained capacity to transmit are therefore currently the preferred candidates
for real world applications. Encouragingly, theoretical models suggest that such
weakly-transmissible vaccines consistently outperform individual-based vaccination,
increasing the potential for disease eradication [11]. Despite this theoretical promise, spreadable vaccines have only
rarely been tested in natural systems (i.e., rabbit hemorrhagic disease and
myxomavirus in rabbits [12]). This gap
between theory and practice reflects a number of limiting factors: vaccines may be
unavailable; epidemiological knowledge of the target pathogen or the dynamics of
vaccine spread may be insufficient to guide deployment or predict benefits; and
losses incurred under existing management strategies may be considered insufficient
to warrant the real or perceived risks of novel interventions.Vampire bat rabies (VBR), a universally lethal viral zoonosis found
throughout Latin America, represents a tractable system to explore the
implementation of spreadable vaccines to protect human and animal health. Where
common vampire bats (Desmodus rotundus) routinely feed on human
blood, VBR is estimated to cause up to 960 deaths/100,000 people [13]. Losses from livestock mortality exceed
$50 million annually and disproportionately affect impoverished, rural
communities [14, 15]. Existing management strategies have been unable to
mitigate the burden of VBR. Vaccines for humans and livestock are protective, but
high costs and inaccessibility to remote areas limit uptake [16]. Rabies control programs also cull vampire bats using
anticoagulant poisons ('vampiricide') which are applied in topical
gels that spread among bats through social contacts and are ingested during grooming
(here termed 'orotopical transfer') [17]. While culling reduces bat bites on humans and livestock, effects on
rabies transmission remain controversial [18,
19]. Moreover, heightened bat dispersal
following culls is predicted to exacerbate VBR transmission by increasing the mixing
of bat colonies, analogous to the increased transmission of bovine tuberculosis
induced through effects of culling on badger home range size [20, 21]. Oral rabies
vaccines that spread by the same orotopical mechanism as vampiricide offer an
alternative approach. These recombinant virally-vectored vaccines can indirectly
immunise untreated bats in captivity, but have never been tested in wild populations
[22, 23, 24, 25]. Several unresolved questions must be answered prior to
deploying vaccines for large scale bat rabies control: (1) how efficiently would
vaccines transfer among wild bats?, (2) are certain demographic groups of bats
especially difficult to vaccinate or especially effective disseminators of
vaccines?, (3) would the resulting degree of immunisation significantly reduce
rabies transmission?, and (4) would vaccines reduce human and livestock rabies risk
more effectively than the current policy of culling? We address these questions by
coupling field studies that used fluorescent biomarkers to quantify contact networks
and orotopical transfer among wild vampire bats with mathematical models that
simulated how vaccines and vampiricide, which spread by identical mechanisms, would
impact the size, duration, and probability of rabies outbreaks.
Results
Biomarker transfer and ingestion shows potential for high vaccine coverage in
wild vampire bats
We estimated the potential for a spreadable vaccine to transfer among
bats using Rhodamine b (RB), a biomarker that when ingested leads to
long-lasting fluorescence in hair follicles in diverse mammalian species [26, 27, 28]. After applying a
gel-formulation of RB topically to bats in three colonies in Peru (colony sizes:
207-257 individuals, sex ratios: 43.1-50.6% male), orotopical transfer and
ingestion was monitored by fluorescent microscopic analysis of hair samples
collected in subsequent capture sessions, with fluorescence indicating RB
consumption (Supplementary
Table 1). At two sites (LMA5 & LMA6), an estimated 84 and 92%
of bats ingested RB, either following topical application or transfer from
treated bats (Fig. 1). The third colony
(LMA12) relocated to an undocumented roost soon after RB treatment, which
diminished captures during the monitoring period relative to the estimated
colony size (Supplementary
Table 1); consequently, the overall estimated coverage dropped to
28.8% (Fig. 1). Nevertheless, the
percentage of sampled LMA12 bats at the end of the monitoring period that were
RB positive (48.3%, aggregating days 24 and 25), was not statistically different
from the percentages at the final capture dates in the other two colonies (58.3
and 70.0%; Chi-squared test, χ2 = 3.2, df =
2, p = 0.21). We further characterized patterns of RB uptake among demographic
groups of bats. The sex ratios of transfer positive bats became slightly more
male biased (3-11% increases, depending on the colony) relative to the sex
ratios of bats that were treated with RB, suggesting elevated transfer to males;
however these increases were not statistically significant
(χ2 tests, all p > 0.05; Supplementary Figure 1).
We observed RB transfer to untreated bats in all three age classes. Across all
colonies, 73.4% of sampled adults (N = 351, averaged across microscopy readings
of independent observers), 57.5% of sampled juveniles (N = 30.5), and 89.9% of
sampled subadults (N = 34.5) became RB positive through transfer during the
monitoring period. Consequently, these results implied that vaccines deployed
over only two days of captures (17-50% of total colony size) would yield high
levels of population immunity across age classes due to orotopical transfer.
Figure 1
Transfer and ingestion of an orotopically spread gel biomarker in three vampire
bat colonies. In each panel, LMA5 (a), LMA6 (b), and
LMA12 (c), x-axes are the days since RB application with the number
of transfer positive bats over total captures in subtext. The y-axis is the
number of bats in each colony within three categories RB negative (white),
application positive (black), or transfer positive (gray). Asterisks (*) on and
after day 10 from LMA12 indicate captures from the relocated roost. Data are the
mean of microscopy readings from two observers, except where noted otherwise.
Transfer positive bats from day 2 had RB applied and are included in the black
bar to visualize the total force of application, but were included as transfers
in statistical analyses.
Contact heterogeneities among demographic groups of vampire bats
We next examined whether contact heterogeneities might make certain
demographic groups of bats especially effective or ineffective spreaders of
vaccines using ultraviolet (UV) powder marking, wherein different age/sex groups
of bats were treated with different colors of UV powder, and transfer to
untreated bats was monitored over two subsequent capture nights [29, 30]. Across 3 replicate UV treatments per colony, we documented 78
instances of UV powder transfer, leading to estimated contact rates ranging from
0.23–1.25 per treated bat (Fig. 2).
Male bats had significantly higher contact rates than females (Wilcoxon rank sum
test, W = 91, p = 0.025; mean = 1.14 versus 0.67) and had similar rates of
male-to-male and male-to-female contacts (Wilcoxon rank sum test, W = 42, p =
0.93). In contrast, females preferentially contacted other females (Fig. 2a). Transfer to juveniles could not be
reliably quantified because these bats were mostly too young to forage
independently and our capture method during the monitoring period required bats
to fly out of roosts. Nevertheless, a single juvenile bat captured had UV
transfer from a female. In contrast, transfer from juveniles to adults should
have been detectable if it occurred due to the greater ease of capturing adults.
However, none of the 27 marked juveniles transferred UV powder to adults.
Together with the high observed rates of juvenile exposure to RB, these findings
suggest that vaccine deployments should target adults rather than juveniles.
Targeting adults would further be logistically advantageous since it would
minimize social disruption of colonies that results from entering roosts to
capture juveniles.
Figure 2
Bat contact heterogeneity revealed by UV powder transfers. a, Mean
new contacts per marked bat, by sex. Arrow thickness is proportional to contact
rate. b, Number and directionality of contacts by sex, location,
and sampling date. Contacts to juveniles are not shown since the juveniles in
the colonies we studied were too young to feed independently and would have been
underestimated by our capture method during monitoring.
Epidemiological models show spreadable vaccines outperform culling for rabies
control
We adapted a deterministic compartmental model of VBR persistence [20] to incorporate an orotopically spread
vaccine and used least-squares (Fig. 3b) to
estimate expected per capita vaccine transfer rates from the
time series of RB transfers observed in our field studies, assuming that RB
transfer equated to lifelong protection. This analysis revealed that each
treated bat transferred RB to 1.45–2.11 untreated individuals, up to a
2.6-fold increase in population level coverage relative to the coverage that
would be expected using conventional, non-spreading vaccines (Fi.g 4b, Supplementary Figure 2 and
Supplementary Table 2). We simulated the ability of spreadable
vaccines to control rabies across the range of R0
values (0.6 to 2) suggested in the rabies literature [20, 34, 35]. Applying vaccines to approximately 20%
of bats vaccinated 40% of the population and reduced rabies outbreak size by 45
to 75%, depending on the assumed R0 of rabies (Fig. 4a,b,c). However, applying vaccines to a
higher proportion of bats had diminishing returns for both the proportion of the
colony that was ultimately protected and for rabies control. If vaccines were
applied to >30% of bats, additional reductions in rabies outbreak sizes
were less than 5%, meaning a 5% increase in initial application led to less than
a 5% reduction in outbreak sizes (Fig. 4d).
The greatest benefit (reduction in outbreak size relative to effort) occurred at
vaccination levels below 15%.
Figure 3
Dynamic models of rabies transmission and spreadable vaccination. a,
The full model used for outbreak analyses includes orotopical transfer and
rabies transmission. Classes comprise susceptible (S), application positive (A),
transfer positive (T), immune (I), exposed to rabies (E), and rabid (R).
b, The biomarker transfer model structure for fitting
β. In the vaccination model, the I and T classes
both provide immunity from rabies but the T class has permanent immunity. Model
parameters describe rates of: natural births (η) and
deaths (ω); orotopical gel application
(α), persistence (ψ), and
transfer (β); rabies transmission
(θ); waning of immunity (ϕ);
rabies induced mortality (τ); and the probabilities of
succumbing to rabies (δ) or surviving
(λ) following exposure. Supplementary Table 3
provides further details and references for parameter values.
Figure 4
Simulating rabies outbreaks with vaccination. a, Mean rabies
outbreak sizes after a single rabid bat is introduced to the colony one week
following release of a spreadable vaccine. Colors represent varying degrees of
rabies R0, with 95% confidence intervals calculated
from 5000 simulations. Dashed lines indicate the percent of bats that RB was
applied to in our study sites. Supplementary Figure 5 shows results calculated only from
simulations where outbreaks occurred. b, Percent of bats ultimately
protected by initial vaccine release. Circle size indicates outbreak size under
the three rabies R0 values. Solid line represents
the 1:1 line; points over the line represent the added benefit of vaccine
transfer. c, Reduction in rabies outbreak size (% fewer cases)
under varying initial vaccination levels and rabies
R0 values. d, Percent of additional
rabies cases prevented by increasing the initial vaccine release effort by 5%
(i.e., the rate of change in rabies reduction from the panel
c).
We next compared the relative efficacy of vaccination and culling across
three epidemiological scenarios [21].
representing different management strategies: (1) a 'preventative'
approach, where vaccine/-vampiricide was applied to prevent VBR invasion into
historically rabies–free bat populations [33, 36]; (2) a
'proactive' approach, which represented an intervention in a VBR
endemic area, but in a colony that was not currently infected; and (3) a
'reactive' approach where intervention followed 60 days after a
single VBR-infected bat was introduced to the colony (Supplementary Figure 4).
Although we simulated outcomes across the full possible range of application
effort (i.e., 0-100% of bats treated), we focused on lower application levels
since capturing large proportions of bats across large geographic areas would be
impractical for rabies control campaigns. Indeed, mark-recapture studies across
multiple vampire bat colonies in Peru suggested that on average, <10% of
colonies were captured in a single night [19]. At realistic levels of application, vaccination consistently
reduced the probability of viral invasion, outbreak size, and outbreak duration
more effectively than culling, regardless of whether control was preventative,
proactive, or reactive (Fig. 5). Culling
was only favored when at least 25% of the colony was treated, and only in
reactive scenarios. However, the advantage of culling on outbreak size was
relatively small - a maximum of a 20% greater reduction - relative to the larger
advantages observed when vaccination was favored (up to 45% greater reduction),
and differences in outbreak duration were negligible until much larger
proportions of bats were culled (Fig. 5).
In preventative and proactive scenarios, culling required capturing and treating
much larger proportions of vampire bat populations (e.g., >60%) to match
the reduction in outbreak size and duration achieved by vaccination (Fig. 5). In fact, the only discernible
difference at higher application levels was a greater reduction in the duration
of outbreaks by culling; however, this was due to near complete extinction of
bat colonies. Even if this degree of bat culling were achievable and ethically
acceptable, it may not be a favorable long-term strategy since populations that
recovered from culls would be entirely susceptible to rabies, potentially
causing larger future outbreaks [37].
Figure 5
Comparing effects of culling and vaccination on rabies transmission. Rows group
results from preventative (top), proactive (middle), and reactive (lower)
strategies and columns group metrics of impacts on transmission.
a,d,g, The difference in the reduction of rabies cases between
equal levels of effort in vaccination versus culling. Values above and below 0
favor vaccination and culling, respectively. b,e, The probability
of a rabies outbreak, defined as the percentage of simulations (N = 5000) where
VBRV introduction led to onward transmission. Shaded regions represent the
difference between vaccination (circles) and culling (triangles); culling is
favored in grey regions and vaccination is favored in blue, green, or red
regions. The probability of outbreaks was not modelled for reactive control
since, by definition, outbreaks had already occurred. c,f,h, The
duration of rabies outbreaks under vaccination and culling. The horizontal line
in panel H indicates day 60, when reactive control measures were implemented. In
all panels, colors correspond to different assumed
R0 values for rabies.
Our per capita transfer rates likely represented lower bounds of
vaccine and vampiricide spread since the relatively high percentage of bats
initially treated with RB left few others available to be exposed via transfer
in two of our colonies and relocation of the third colony reduced capture
rates during the monitoring period. Indeed, some studies have suggested higher
transfer rates of vampiricide [17, 38]. We therefore conducted a
sensitivity analysis where both vaccines and vampiricide spread up to 10-fold
more efficiently than our RB estimates, values that exceeded the largest
transfer rates suggested from vampiricide releases [17, 38].
Additionally, we considered transfer rates that were up to 75% less efficient
than our RB estimates. This analysis demonstrated that low-level vaccination
remained favored under preventative and proactive approaches even if both the
vaccine and vampiricide spread up to 3-fold greater than observed in our field
studies (Supplementary Figures
7-9). If both interventions spread less effectively than RB,
vaccination was either superior or equivalent to culling except when large
proportions of bat colonies were reactively culled (Supplementary Figure 6).
Under realistic levels of application (application ≤ 25%), even if
vampiricide spread 3-fold better than a vaccine, it was unable to outperform
vaccination under preventative or proactive approaches when
R0 was less than 2. Under reactive scenarios,
culling was favored if vampiricide spread 2-3-fold better than a vaccine or if
VBR R0 was 2 (Supplementary Figure 9).
Given that existing oral rabies vaccines use replication-competent viral vectors
with potential for lower effective doses than chemical poisons [24, 25], heightened vampiricide transfer is less likely than the
converse where vaccines spread better [8].
The high R0 scenarios where culling was favored are
also unlikely, as the estimated VBR R0 is
considerably lower than 2 [20]. Our
results therefore support previous suggestions that culling may require
near-elimination of bats to locally benefit rabies prevention [18] and reveal spreadable vaccines as
efficient tools to reduce the size, duration, and probability of rabies
outbreaks in Latin America.
Discussion
This study demonstrates proof-of-principle that at operationally-achievable
levels of deployment and empirically-quantified rates of bat-to-bat spread,
orotopical vaccines should reduce rabies transmission more effectively than culling,
the current policy employed across Latin America. Since VBR persistence requires
inter-colony spread for viral dispersal, even modest reductions in outbreak size are
likely to have epidemiologically important impacts at the larger geographic scales
over which disease control campaigns are implemented. In particular, by reducing the
number of infected bats and the probability of viral invasion, vaccination of a
limited number of colonies would disproportionately benefit regional rabies
elimination by favoring stochastic viral extinctions. Because male dispersal spreads
rabies between colonies, vaccination might further benefit from targeting male bats
[33]. Although higher rates of social
grooming among females was expected to undermine this strategy [38, 39],
we found that males have equal or greater inter- and intra-sex contact rates, a
possible consequence of attempted mating with females or fighting among males.
Importantly, because self-grooming is common [40], any vaccine transferred through these interactions would ultimately
be ingested.Designing large-scale campaigns to deploy spreadable rabies vaccines
requires additional research in several areas. First, to optimize the number of
vaccine doses to apply to each bat, captive and field studies should quantify
individual heterogeneity in transfer rates using actual vaccines in addition to
biomarkers. Second, the costs of vaccination must be estimated in economic terms in
addition to the epidemiological assessment provided here. Unfortunately, vaccines
are currently produced only for research and costs of large-scale production are
unavailable. Third, vaccination of vampire bats without population reduction will be
unacceptable to some stakeholders since uncontrolled bat depredation sustains
exposures to non-rabies pathogens [41] and
anemia from bites may reduce livestock productivity independently of rabies [42]. Given that culling shifts bat populations
towards younger, more rabies susceptible individuals, which could enhance rabies
transmission [19], future research should
develop tools for reproductive suppression as an alternative to culling [43]. Finally, metapopulation maintenance of
rabies provides opportunities for more efficient, epidemiologically-informed
vaccination [44]. For example, vaccines might
be deployed with prior knowledge of rabies presence from livestock surveillance
systems (e.g., ring vaccination) or preventatively in areas where the locations and
timing of outbreaks are predictable [36].
Spatially-explicit rabies transmission models will be an important next step to
design these interventions, but will require a more quantitative understanding of
bat dispersal than is currently available. Excitingly, once strategies are
developed, the operational capacity for their implementation is already available in
most Latin American countries through decades of experience with culling
campaigns.These results provide evidence that spreadable vaccines may contribute to
pathogen management within wild bats. VBR provided an ideal case study because the
epidemiological mechanisms underlying viral maintenance are understood and candidate
vaccines are available [20, 25, 36,
45]. While the exact parameter estimates
and models developed here should not be applied directly to other bat pathogens, the
framework linking biomarkers to mathematical models can guide future research. For
several bat pathogens of public health or conservation concern such as White Nose
Syndrome, Hendra virus, and Marburg virus, epidemiological models have been proposed
[46, 47, 48] and vaccines for bats
either exist or have precedents encouraging their development [49, 50, 51]. In these cases, our approach could be
implemented over relatively short timescales to evaluate the prospects for vaccines
to aid management and the immunological and epidemiological characteristics that
would be required for success before investing resources in vaccine development. For
other bat pathogens with greater uncertainty in reservoir hosts and transmission
biology, such as Ebolaviruses [52],
implementation will require greater fundamental knowledge of viral transmission
cycles. We encourage further development of virally-vectored vaccines for bats and
highlight the need to quantify their spread and efficacy in the wild.
Methods
Field studies of biomarker transfer and ingestion
Field studies were carried out between January and July 2017 in three
vampire bat roosts in the Barranca (LMA5, -10.6415, -77.8160), Huaura (LMA6,
-11.0555, -77.4594), and Lima (LMA12, -12.1833, -76.8500) provinces of the
Department of Lima, Peru (Supplementary Table 1). Two roosts (LMA5 and LMA6) had been
monitored since 2007, while the third (LMA12) was examined here for the first
time [19]. All roosts were man-made
tunnels that formed part of crop irrigation systems. Diurnal captures were
carried out to mark bats and estimate sex ratios and colony sizes. Diurnal
captures involved teams entering caves and catching bats with hand nets
(BioQuip, Tropics Net). In addition, 2.5-meter mist nets (Ecotone) were placed
at each end of tunnels to catch bats that attempted to escape. Diurnal capture
effort was set to 1 hour across sampling dates and localities. Colony sizes were
estimated using the Schnabel method [53].
Nocturnal captures were carried out in the same roosts to monitor biomarker
spread. Nets placed at each roost exit were checked every 30 minutes for 4 hours
per night at varying hours depending on the lunar cycle. Following removal from
mist nets, bats were placed in individual cloth bags until processing. All
captured bats were given an individually numbered, 4 digit incoloy wing band
(3.5mm Porzana Inc.) to identify recaptures. Age was classified as juvenile,
subadult, or adult based on the degree of fusion of the phylangeal epiphyses
[54]. In total, we recorded 1777
captures of 709 individually-marked bats, with the average bat captured 2.39
times (range=1-9).Studies of vaccine transfer and ingestion used RB powder (50mg) mixed
with glycerine jelly (44.5ml, Carolina Biological Supply Company) and water
(55.5ml) to form a gel. On days 1 and 2, RB was administered orally to confirm
fluorescence in RB-treated bats (ca. 0.05ml via needle-free syringe) and applied
topically (ca. 0.45ml, rubbed into the dorsal fur) to all captured bats. Uptake
in un-treated bats was monitored using hair plucked from bats captured over 4-5
subsequent sessions per colony, carried out up to 31 days after initial
application (Supplementary
Table 1). Hair samples were examined with a Nikon SMZ1270 microscope
at 15x using a fluorescence filter with excitation wavelength 540 nm, emission
wavelength 625 nm. Each sample was examined by two individuals to minimize
misclassification, except at LMA12 on days 8 & 10, where only one
individual examined the hair. The presence of fluorescence in hair was
interpreted to indicate transfer and consumption of RB, but was not considered a
quantitative measure of the volume of RB consumption. Because bats had
identification tags, we were able to distinguish those that were positive due to
transfer from RB treated bats (”transfer positives”) from those
that had RB applied by experimenters (”application positives”).
Hair samples were collected under the Peruvian collection permit,
028-2017-SERFOR/DGGSPFFS and exported to the United States under export permit,
3235-SERFOR. This research was performed under approval of University of Glasgow
School of Veterinary Medicine Animal Ethics Committee (Project 25A/18).Powder marking was replicated 3 times per colony (total of 9 marking
sessions) and bats were monitored for two nights following each marking session
(Supplementary Table
1). During each session, red, green, blue, or orange UV powder
(DayGlo Corp.) was rubbed into the fur of the bat across the entire body using a
toothbrush, with colors dependent on age and sex. UV colors were rotated between
groups at different capture dates to control for potential differences in
detection probability. UV powder markings were recorded by examining each
captured bat for 30s using handheld UV lights (Glowtech Ltd.) prior to removal
from mist nets. After removing UV marked bats from the recaptures, directional
contact rates for each sex (e.g. female-to-male contacts per marked female) were
calculated using equation 1:
where
N is the number of bats of a
certain sex testing positive for the UV color in question,
UM is the number of unmarked bats of that
sex captured at this time point, N is
the number of unmarked bats of that sex in the entire colony, and
M is the number of initially marked bats
from that sex. Example calculations are provided in the Supplementary Information
(Eqs. 2 & 3).Sex biases in UV transfer were tested by comparing all estimated rates
from males to all estimated rates from females, treating each site, month, and
recipient sex combination as independent observations (N = 36). We used a
non-parametric Wilcoxon rank sum test since rates were not normally distributed,
even after log transformation (Shapiro-Wilk test, p = 0.01).
Parameter estimation and mathematical modeling
Per capita rates of orotopical transfer and ingestion,
defined as the estimated number of bat-to-bat transfers per treated individual,
were estimated using the data from our RB field study. Specifically, we
incorporated a susceptible (S), application positive (A), and transfer positive
(T) deterministic compartmental model (Fig.
3b) using least-squares methods in the statistical software R. A
2-day transfer period was integrated with the number of RB application and
transfer positives across time to estimate the expected transfer rate of
orotopical vaccines or poisons (β). A 6-day RB transfer
period was also considered to examine variation in β
across time (Supplementary
Table 2, Supplementary Information). We assumed that successful
transfer led to death in culling models and lifelong protection against VBR in
vaccination models (ca. 3.5 years of protection given the lifespan of D.
rotundus,
Supplementary Table 3).
Importantly, waning of vaccine-induced immunity would not alter the results
shown here which focused on single outbreaks.Mathematical models of rabies control used a stochastic model that
simulated both rabies transmission and vaccine transfer. A susceptible (S),
application positive (A), transfer positive (T), exposed to rabies (E), immune
(I), and rabid (R) model, with a daily time-step, was simulated for 5000
iterations using a Gillespie algorithm (Fig.
3a, Supplementary
Information). Following previous models of vampire bat rabies [20] and consistent with the absence of
strong relationships between colony size and rabies seroprevalence [19], we utilized a frequency-dependent
rabies transmission function. We used 237 bats as the colony size (the mean size
from our three field sites). The base model without vaccination or culling
followed the mathematical structure and parameter values used by Blackwood
et al. [20], with
the simplifications of a single infectious class and modeling a single
introduction of rabies rather than sustained introductions via immigration. This
model generated similar outbreak dynamics to the Blackwood et
al. [20] model,
characterized by short lived outbreaks (less than 1 year) followed by viral
extinction, persistence of the bat population, and seroprevalence levels
consistent with field observations, particularly at values of
R0 > 0.6 (Supplementary Figure 3).
Since we modelled our vaccine spread on a recombinant Raccoonpox virus-vectored
vaccine that appears unlikely to spread via an infectious process (i.e., from
indirectly vaccinated bats) [45],
vaccines were modelled to spread only from those bats to which the vaccine was
applied, creating a single generation of transmission. Based on the very low
prevalence of rabies in free-flying bats (>1%) and infrequent dispersal
in vampire bats [55, 56], we simulated introduction of a single
rabid bat to the population. Given that sex differences in RB transfer were
non-significant and age-biased transfer was difficult to quantify, we opted
against more complex age and sex structured models of rabies and
vaccine/vampiricide spread.Models comparing the efficacy of vampiricide to vaccination used the
same model structure with the exception that bats in the exposed class died from
ingesting vampiricide, while those that consumed the vaccine were not protected
(see Eqs. 8 & 9 in the Supplementary Information). This was because post-exposure
vaccination has not been evaluated in bats. We generally assumed equal transfer
rates of vaccines and vampiricide based on their identical mechanism of
transfer; however, we relaxed this assumption in the Supplementary Information
(Supplementary Figures
6-9). We also assumed that both spread over relatively short time
periods since vampire bats are exceptional groomers and would quickly ingest
vaccine or vampiricide [40]. Importantly,
our focal vaccine remains viable over these timescales [57]. After two years (730 days) the cumulative number of
newly infected bats was considered to be the outbreak size. Outbreak duration
was defined as the total number of days with at least one bat in the exposed
class. For preventative and proactive approaches, we quantified the probability
of an outbreak as the proportion of simulations where at least 1 new bat became
infected after a single rabid bat was introduced.
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