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Abstract

Objective—To determine the sample size necessary to evaluate the efficacy of a vaccine in a population.

Procedure—An equation was coded into a computer spreadsheet to compare the traditional sample size calculation with that needed when evaluating the efficacy of a vaccine applied in a population.

Results—The traditional approach used to conservatively estimate sample size necessary to detect a given difference in group proportions potentially greatly underestimates the number of animals needed for vaccine efficacy (VE) trials. In VE trials, it is necessary to estimate the effect of population-level vaccination prior to estimating sample size. In VE trials, as incidence proportion in the population or herd decreases or VE decreases, necessary sample size increases.

Conclusion and Clinical Relevance—In designing a clinical or field trial, such as one to evaluate the efficacy of a vaccine against an infectious disease in a population, one needs to approach sample size calculations in a nontraditional manner. The proportion of the population vaccinated, disease transmission dynamics, and VE will affect the incidence in the nonvaccinated and vaccinated groups and, hence, sample size. Thus, estimation of the effect of the vaccination on the population must be made prior to calculating sample size. Otherwise, sample size and the power to identify VE will be insufficient. (Am J Vet Res 2001;62:1582–1584)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To evaluate the application of a vaccine in a population of animals.

Sample Population—Field-trial data from the literature.

Procedure—A spreadsheet simulation model was constructed to estimate the impact of a vaccination program, assuming various population sizes, transmission rates, and vaccine efficacies.

Results—Total effectiveness (proportion of affected animals [ie, cases] avoided) increased with the vaccinated proportion of the population. However, with a highly efficacious vaccine, this relationship discontinued after a sufficient vaccination proportion was reached, reflecting herd immunity. Evaluation of a case study indicated that what may be considered a poor vaccine on the basis of its low efficacy may protect a substantial portion of the population if the vaccine is administered to a sufficient number of susceptible animals. Further investigation of a case study of horses indicated that evaluating a vaccine based solely on its efficacy could greatly underestimate its value.

Conclusions and Clinical Relevance—When evaluating a vaccine applied to a population, in addition to the vaccine efficacy, the vaccination rate, cost of the vaccine, potential disease transmission rate, and number and cost of cases avoided must also be considered. Efficacy may underestimate vaccine value in terms of the reduction of indirect cases typically avoided when vaccination is applied in a population. (Am J Vet Res 2001;62:202–205)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To determine biosecurity practices and travel history of individuals exhibiting livestock at the 2005 California State Fair.

Design—Survey.

Study Population—137 individuals exhibiting livestock at the fair.

Procedures—Exhibitors were asked to complete a survey to gather information about the animals they exhibited, the biosecurity practices they used, and the distances they traveled to exhibit their animals.

Results—132 of the 137 (96%) respondents came from California, with respondents representing 40 of California's 58 counties. Median number of livestock exhibitions attended by respondents during the past 12 months was 3 (range, 1 to 7). Respondents indicated that 787 of the 812 (97%) animals they exhibited would be returned home after the fair. Nine (7%) respondents indicated that they did not take any particular biosecurity precautions before arriving at the fair, and 14 (10%) indicated that they did not take any particular biosecurity precautions while at the fair. Only 36 (26%) respondents indicated that they quarantined their animals when returning to their farm of residence after the fair.

Conclusions and Clinical Relevance—Results indicated that there was extensive movement of livestock among exhibitions in California, posing a potential threat for widespread dispersion of disease throughout the state and beyond, particularly given the low percentages of exhibitors who used various biosecurity measures.

Full access
in Journal of the American Veterinary Medical Association

Abstract

Objective—To estimate direct and indirect contact rates on livestock facilities and distance traveled between herd contacts.

Sample Population—320 beef, dairy, goat, sheep, and swine herds, 7 artificial insemination technicians, 6 hoof trimmers, 15 veterinarians, 4 sales yard owners, and 7 managers of livestock-related companies within a 3-county region of California.

Procedure—A questionnaire was mailed to livestock producers, and personal and telephone interviews were conducted with individuals.

Results—Mean monthly direct contact rates were 2.6, 1.6, and 2.0 for dairies with < 1,000, 1,000 to 1,999, and ≥ 2,000 cattle, respectively. Mean indirect contact rates on dairies ranged from 234 to 743 contacts/ mo and increased by 1 contact/mo as herd size increased by 4.3. Mean direct monthly contact rate for beef herds was 0.4. Distance traveled by personnel and vehicles during a 3-day period ranged from 58.4 to 210.4 km. Of livestock arriving at sales yards, 7% (500/7,072) came from ≥ 60 km away, and of those sold, 32% (1,180/3,721) were destined for a location ≥ 60 km away. Fifty-five percent (16/29) of owners of large beef herds observed deer or elk within 150 m of livestock at least once per month.

Conclusions and Clinical Relevance—Direct and indirect contacts occur on livestock facilities located over a wide geographic area and at a higher frequency on larger facilities. Knowledge of contact rates may be useful for planning biosecurity programs at the herd, state, and national levels and for modeling transmission potential for foot-and-mouth disease virus. (Am J Vet Res 2001;62:1121–1129)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To develop a model to evaluate the effect of vaccination against Tritrichomonas foetuson reproductive efficiency in beef herds.

Sample Population—A beef herd of 300 cows and 12 bulls (8 bulls ≤ 3 years old and 4 bulls > 3 years old).

Procedure—The model was developed by use of data for various risk factors and vaccine efficacy. The reference herd was considered to be one in which T foetus had been diagnosed and bulls were tested for T foetus before the breeding season. Five thousand iterations were run for each of 13 simulations, with each simulation representing a separate combination of risk factors.

Results—In all simulations, vaccination resulted in significantly higher calving incidence than nonvaccination. Shared grazing was found to be the most significant risk factor for a decrease in calving incidence attributable to T foetus infection, followed in importance by lack of testing before the breeding season and a higher proportion of old bulls. Combinations of risk factors contributed to a loss of income of up to 22%, some of which could be blunted by vaccination.

Conclusions and Clinical Relevance—Highest calving incidence is achieved when all bulls are tested for T foetus before the breeding season and all bulls with positive culture results are culled. Avoiding all risk factors is better than vaccinating, but when this is not feasible for a given herd, the results of this simulation indicate that proper vaccination can decrease economic losses attributable to abortions caused by T foetus. (Am J Vet Res 2004;65:770–775)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To develop a spatial epidemic model to simulate intraherd and interherd transmission of footand- mouth disease (FMD) virus.

Sample Population—2,238 herds, representing beef, dairy, swine, goats, and sheep, and 5 sale yards located in Fresno, Kings, and Tulare counties of California.

Procedure—Using Monte-Carlo simulations, a spatial stochastic epidemic simulation model was developed to identify new herds that would acquire FMD following random selection of an index herd and to assess progression of an epidemic after implementation of mandatory control strategies.

Results—The model included species-specific transition periods for FMD infection, locations of herds, rates of direct and indirect contacts among herds, and probability distributions derived from expert opinions on probabilities of transmission by direct and indirect contact, as well as reduction in contact following implementation of restrictions on movements in designated infected areas and surveillance zones. Models of supplemental control programs included slaughter of all animals within a specified distance of infected herds, slaughter of only high-risk animals identified by use of a model simulation, and vaccination of all animals within a 5- to 50-km radius of infected herds.

Conclusions and Clinical Relevance—The FMD model represents a tool for use in planning biosecurity and emergency-response programs and in comparing potential benefits of various strategies for control and eradication of FMD appropriate for specific populations. (Am J Vet Res 2003;64:195–204)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To assess estimated effectiveness of control and eradication procedures for foot-andmouth disease (FMD) in a region of California.

Sample Population—2,238 herds and 5 sale yards in Fresno, Kings, and Tulare counties of California.

Procedure—A spatial stochastic model was used to simulate hypothetical epidemics of FMD for specified control scenarios that included a baseline eradication strategy mandated by USDA and supplemental control strategies of slaughter or vaccination of all animals within a specified distance of infected herds, slaughter of only high-risk animals identified by use of a model simulation, and expansion of infected and surveillance zones.

Results—Median number of herds affected varied from 1 to 385 (17% of all herds), depending on type of index herd and delay in diagnosis of FMD. Percentage of herds infected decreased from that of the baseline eradication strategy by expanding the designated infected area from 10 to 20 km (48%), vaccinating within a 50-km radius of an infected herd (41%), slaughtering the 10 highest-risk herds for each infected herd (39%), and slaughtering all animals within 5 km of an infected herd (24%).

Conclusions and Clinical Relevance—Results for the model provided a means of assessing the relative merits of potential strategies for control and eradication of FMD should it enter the US livestock population. For the study region, preemptive slaughter of highest-risk herds and vaccination of all animals within a specified distance of an infected herd consistently decreased size and duration of an epidemic, compared with the baseline eradication strategy. (Am J Vet Res 2003;64:205–210)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To assess relative costs and benefits of vaccination and preemptive herd slaughter to control transmission of foot-and-mouth disease (FMD) virus (FMDV).

Sample Population—2,238 herds and 5 sale yards located in Fresno, Kings, and Tulare counties of California.

Procedure—Direct costs associated with indemnity, slaughter, cleaning and disinfecting livestock premises, and vaccination were compared for various eradication strategies. Additional cost, total program cost, net benefit, and benefit-cost value (B/C) for each supplemental strategy were estimated, based in part on results of published model simulations for FMD. Sensitivity analyses were conducted.

Results—Mean herd indemnity payments were estimated to be $2.6 million and $110,359 for dairy and nondairy herds, respectively. Cost to clean and disinfect livestock premises ranged from $18,062 to $60,205. Mean vaccination cost was $2,960/herd. Total eradication cost ranged from $61 million to $551 million. All supplemental strategies involving use of vaccination were economically efficient (B/C range, 5.0 to 10.1) and feasible, whereas supplemental strategies involving use of slaughter programs were not economically efficient (B-C, 0.05 to 0.8) or feasible.

Conclusions and Clinical Relevance—Vaccination with a highly efficacious vaccine may be a cost-effective strategy for control of FMD if vaccinated animals are not subsequently slaughtered and there is no future adverse economic impact, such as trade restrictions. Although less preferable than the baseline eradication program, selective slaughter of highest-risk herds was preferable to other preemptive slaughter strategies. However, indirect costs can be expected to contribute substantially more than direct costs to the total cost of eradication programs. (Am J Vet Res 2003;64:805–812)

Full access
in American Journal of Veterinary Research

Abstract

Objective—To estimate contact rates and movement variables for shipments of beef cattle to and from producer premises in California.

Design—Cross-sectional survey.

Sample Population—583 beef producers in California.

Procedures—Questionnaires were developed and distributed to beef cattle producers in California. The study period was from April 20, 2005, through September 7, 2006. Data from completed questionnaires were entered manually into an electronic format. Descriptive statistical analyses were performed.

Results—Median number of interstate animal movements (movement of cattle into or out of California) was 0.17/mo; on the basis of this median, beef cattle were moved interstate > 2 times/y. Respondents kept beef cattle at up to 5 locations throughout the year. More than 40% of the movements from the respondents' premises were to a sale yard or auction facility.

Conclusions and Clinical Relevance—Frequency of animal movements in this statewide study differed from values in another study of monthly shipments of animals to and from beef operations in 3 counties of California. The survey reported here revealed more frequent movements of animals to and from beef operations of all sizes. In addition, there were more high-risk indirect contacts on beef operations than has been reported previously. However, the number of low-risk indirect contacts was similar for small beef operations but less for large beef operations than has been reported elsewhere. Epidemic simulation models for California based on data in earlier studies likely underpredicted disease transmission involving beef herds.

Full access
in Journal of the American Veterinary Medical Association

Abstract

Objective—To evaluate a Markov-chain model for the development of forelimb injuries in Thoroughbreds and to use the model to determine effects of reducing sprint distance on incidence of metacarpal condylar fracture (CDY) and severe suspensory apparatus injury (SSAI).

Sample Population—Weekly exercise and injury data for 122 Thoroughbreds during racing or training.

Procedure—Weekly data were used to construct a Markov-chain model with 5 states (uninjured [UNINJ], palpable suspensory apparatus injury [PSAI], SSAI, CDY, and lost to follow-up [LOST]). Transition probabilities between UNINJ and PSAI were estimated as a function of weekly sprint distance by use of linear regression analysis. The model was used to predict distributions of annual CDY and SSAI incidences in southern California racehorses and was validated by using CDY incidence reported by racetrack practitioners. The model was modified by reducing the number of sprint distances that were > 6 furlongs (> 1.20 km) by 20%, and CDY and SSAI incidences were compared with those generated by the baseline model.

Results—The model accurately fit development of injuries in the sample population but overestimated development of injuries in the southern California racehorse population. Development of and recovery from PSAI were correlated with distance run at high speeds. Reducing by 20% the number of sprints run at distances > 6 furlongs significantly reduced modeled annual CDY and SSAI incidence by 9%.

Conclusions and Clinical Relevance—Reducing the number of sprints at distances > 6 furlongs, particularly among horses with PSAI, reduces risk of CDY and SSAI. (Am J Vet Res 2003;64:328–337)

Full access
in American Journal of Veterinary Research