模型在肿块性皮肤病流行病学和控制中的作用:系统综述

Edwiga Renald, Joram Buza, Jean M. Tchuenche, Verdiana G. Masanja
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In order to take control of the disease, various research endeavors are going on different fronts including epidemiology, virology, social economics and modeling, just to mention a few. This systematic review aims at exploring models that have been formulated and/or adopted to study the disease, estimate the advancement in knowledge accrued from these studies and highlight more areas that can be further advanced using this important tool. Main body of the abstract Electronic databases of PubMed, Scopus and EMBASE were searched for published records on modeling of LSD in a period of ten (10) years from 2013 to 2022 written in English language only. Extracted information was the title, objectives of the study, type of formulated or adopted models and study findings. A total of 31 publications met the inclusion criteria in the systematic review. Most studies were conducted in Europe reflecting the concern for LSD outbreaks in Eastern Europe and also availability of research funding. Majority of modeling publications were focused on LSD transmission behavior, and the kernel-based modeling was more popular. The role of modeling was organized into four categories, namely risk factors, transmission behaviors, diagnosis and forecasting, and intervention strategies. The results on modeling outbreaks data identified various factors including breed type, weather, vegetation, topography, animal density, herd size, proximity to infected farms or countries and importation of animals and animal products. Using these modeling techniques, it should be possible to come up with LSD risk maps in many regions or countries particularly in Africa to advise cattle herders to avoid high risk areas. Indirect transmission by insect vectors was the major transmission route with Stomoxys calcitrans being more effective, indicating need to include insect control mechanisms in reducing the spread of LSD. However, as the disease spread further into cold climates of Russia, data show new emerging trends; in that transmission was still occurring at temperatures that preclude insect activities, probably by direct contact, and furthermore, some outbreaks were not caused by field viruses, instead, by vaccine-like viruses due to recombination of vaccine strains with field viruses. Machine learning methods have become a useful tool for diagnosing LSD, especially in resource limited countries such as in Africa. Modeling has also forecasted LSD outbreaks and trends in the foreseeable future indicating more outbreaks in Africa and stability in Europe and Asia. This brings African countries into attention to develop long-term plans to deal with LSD. Intervention methods represented by culling and vaccination are showing promising results in limiting the spread of LSD. However, culling was more successful when close to 100% of infected animals are removed. 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引用次数: 0

摘要

摘要背景肿块性皮肤病(Lumpy skin disease, LSD)是由肿块病病毒(Lumpy disease virus, LSDV)引起的牛传染性病毒性疾病,由某些种类的苍蝇、蚊子或蜱虫等食血昆虫传播。可以发生直接传播,但速率和效率较低。疫苗接种是与其他方法合作使用的主要疾病控制方法,但疫情一再发生,疾病仍然存在,并随后蔓延到新的领土。LSD最近以惊人的速度蔓延到世界上许多国家,包括其发源地非洲、中东、亚洲和除西半球、新西兰和澳大利亚以外的欧洲联盟一些成员国。为了控制这种疾病,各种各样的研究努力正在不同的领域进行,包括流行病学、病毒学、社会经济学和建模,仅举几例。本系统综述旨在探索已经制定和/或采用的用于研究该疾病的模型,估计从这些研究中积累的知识的进展,并强调使用这一重要工具可以进一步推进的更多领域。检索PubMed、Scopus和EMBASE等电子数据库,检索2013 - 2022年十(10)年间仅以英文撰写的LSD建模相关文献。提取的信息包括标题、研究目的、制定或采用的模型类型和研究结果。共有31篇出版物符合系统评价的纳入标准。大多数研究是在欧洲进行的,这反映了对东欧致幻剂爆发的关注以及研究经费的可用性。大多数建模出版物都集中在LSD传输行为上,基于核的建模更受欢迎。建模的作用分为风险因素、传播行为、诊断与预测、干预策略四大类。暴发数据建模的结果确定了各种因素,包括品种类型、天气、植被、地形、动物密度、畜群规模、与受感染农场或国家的距离以及动物和动物产品的进口。利用这些建模技术,应该有可能在许多地区或国家,特别是在非洲,绘制出LSD风险地图,以建议牧牛者避开高风险地区。媒介昆虫间接传播是LSD的主要传播途径,其中气孔虫传播更有效,需要引入昆虫控制机制来减少LSD的传播。然而,随着疾病在俄罗斯寒冷气候地区进一步蔓延,数据显示出新的趋势;在这种情况下,传播仍然发生在阻止昆虫活动的温度下,可能是通过直接接触,此外,一些疫情不是由田间病毒引起的,而是由疫苗株与田间病毒重组引起的疫苗样病毒引起的。机器学习方法已经成为诊断LSD的有用工具,特别是在非洲等资源有限的国家。建模还预测了LSD的爆发和可预见未来的趋势,表明非洲爆发的疫情将更多,欧洲和亚洲将保持稳定。这使非洲国家注意到制定长期计划来处理迷幻药问题。以扑杀和疫苗接种为代表的干预方法在限制LSD的传播方面显示出良好的效果。然而,当接近100%的受感染动物被清除时,扑杀更为成功。但这是复杂的,首先因为它的实施成本巨大,其次它需要应用诊断技术,以便能够迅速识别感染和/或无症状的动物。当使用有效的疫苗,如同源LSD疫苗,并辅以90%以上的高覆盖率时,疫苗接种会更成功。由于成本高昂,这在资源贫乏的国家很难实现。建模在解决与LSD流行病学和控制相关的挑战方面做出了重大贡献,特别是在风险因素、疾病传播、诊断和预测以及干预策略方面。然而,需要在所有这些领域进行更多的研究,以解决现有的知识差距。
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The role of modeling in the epidemiology and control of lumpy skin disease: a systematic review
Abstract Background Lumpy skin disease (LSD) is an economically important viral disease of cattle caused by lumpy disease virus (LSDV) and transmitted by blood-feeding insects, such as certain species of flies and mosquitoes, or ticks. Direct transmission can occur but at low rate and efficiency. Vaccination has been used as the major disease control method in cooperation with other methods, yet outbreaks recur and the disease still persists and is subsequently spreading into new territories. LSD has of late been spreading at an alarming rate to many countries in the world including Africa where it originated, Middle East, Asia and some member countries of the European Union except the Western Hemisphere, New Zealand and Australia. In order to take control of the disease, various research endeavors are going on different fronts including epidemiology, virology, social economics and modeling, just to mention a few. This systematic review aims at exploring models that have been formulated and/or adopted to study the disease, estimate the advancement in knowledge accrued from these studies and highlight more areas that can be further advanced using this important tool. Main body of the abstract Electronic databases of PubMed, Scopus and EMBASE were searched for published records on modeling of LSD in a period of ten (10) years from 2013 to 2022 written in English language only. Extracted information was the title, objectives of the study, type of formulated or adopted models and study findings. A total of 31 publications met the inclusion criteria in the systematic review. Most studies were conducted in Europe reflecting the concern for LSD outbreaks in Eastern Europe and also availability of research funding. Majority of modeling publications were focused on LSD transmission behavior, and the kernel-based modeling was more popular. The role of modeling was organized into four categories, namely risk factors, transmission behaviors, diagnosis and forecasting, and intervention strategies. The results on modeling outbreaks data identified various factors including breed type, weather, vegetation, topography, animal density, herd size, proximity to infected farms or countries and importation of animals and animal products. Using these modeling techniques, it should be possible to come up with LSD risk maps in many regions or countries particularly in Africa to advise cattle herders to avoid high risk areas. Indirect transmission by insect vectors was the major transmission route with Stomoxys calcitrans being more effective, indicating need to include insect control mechanisms in reducing the spread of LSD. However, as the disease spread further into cold climates of Russia, data show new emerging trends; in that transmission was still occurring at temperatures that preclude insect activities, probably by direct contact, and furthermore, some outbreaks were not caused by field viruses, instead, by vaccine-like viruses due to recombination of vaccine strains with field viruses. Machine learning methods have become a useful tool for diagnosing LSD, especially in resource limited countries such as in Africa. Modeling has also forecasted LSD outbreaks and trends in the foreseeable future indicating more outbreaks in Africa and stability in Europe and Asia. This brings African countries into attention to develop long-term plans to deal with LSD. Intervention methods represented by culling and vaccination are showing promising results in limiting the spread of LSD. However, culling was more successful when close to 100% of infected animals are removed. But this is complicated, firstly because the cost of its implementation is massive and secondly it needed application of diagnostic techniques in order to be able to rapidly identify the infected and/or asymptomatic animals. Vaccination was more successful when an effective vaccine, such as the homologous LSD vaccine, was used and complemented by a high coverage of above 90%. This is hard to achieve in resource-poor countries due to the high costs involved. Short conclusion Modeling has made a significant contribution in addressing challenges associated with the epidemiology and control of LSD, especially in the areas of risk factors, disease transmission, diagnosis and forecasting as well as intervention strategies. However, more studies are needed in all these areas to address the existing gaps in knowledge.
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