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1.
Nat Commun ; 15(1): 3494, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38693163

ABSTRACT

H9N2 avian influenza viruses (AIVs) are a major concern for the poultry sector and human health in countries where this subtype is endemic. By fitting a model simulating H9N2 AIV transmission to data from a field experiment, we characterise the epidemiology of the virus in a live bird market in Bangladesh. Many supplied birds arrive already exposed to H9N2 AIVs, resulting in many broiler chickens entering the market as infected, and many indigenous backyard chickens entering with pre-existing immunity. Most susceptible chickens become infected within one day spent at the market, owing to high levels of viral transmission within market and short latent periods, as brief as 5.3 hours. Although H9N2 AIV transmission can be substantially reduced under moderate levels of cleaning and disinfection, effective risk mitigation also requires a range of additional interventions targeting markets and other nodes along the poultry production and distribution network.


Subject(s)
Chickens , Influenza A Virus, H9N2 Subtype , Influenza in Birds , Animals , Influenza A Virus, H9N2 Subtype/isolation & purification , Influenza A Virus, H9N2 Subtype/immunology , Influenza in Birds/transmission , Influenza in Birds/epidemiology , Influenza in Birds/virology , Chickens/virology , Bangladesh/epidemiology , Poultry Diseases/transmission , Poultry Diseases/virology , Poultry Diseases/epidemiology , Models, Biological
2.
Infect Dis Poverty ; 13(1): 28, 2024 Apr 12.
Article in English | MEDLINE | ID: mdl-38610035

ABSTRACT

BACKGROUND: Despite the increasing focus on strengthening One Health capacity building on global level, challenges remain in devising and implementing real-world interventions particularly in the Asia-Pacific region. Recognizing these gaps, the One Health Action Commission (OHAC) was established as an academic community for One Health action with an emphasis on research agenda setting to identify actions for highest impact. MAIN TEXT: This viewpoint describes the agenda of, and motivation for, the recently formed OHAC. Recognizing the urgent need for evidence to support the formulation of necessary action plans, OHAC advocates the adoption of both bottom-up and top-down approaches to identify the current gaps in combating zoonoses, antimicrobial resistance, addressing food safety, and to enhance capacity building for context-sensitive One Health implementation. CONCLUSIONS: By promoting broader engagement and connection of multidisciplinary stakeholders, OHAC envisions a collaborative global platform for the generation of innovative One Health knowledge, distilled practical experience and actionable policy advice, guided by strong ethical principles of One Health.


Subject(s)
One Health , Animals , Asia , Capacity Building , Policy , Zoonoses/prevention & control
4.
PLoS Comput Biol ; 20(2): e1011375, 2024 Feb.
Article in English | MEDLINE | ID: mdl-38381804

ABSTRACT

The rapid intensification of poultry production raises important concerns about the associated risks of zoonotic infections. Here, we introduce EPINEST (EPIdemic NEtwork Simulation in poultry Transportation systems): an agent-based modelling framework designed to simulate pathogen transmission within realistic poultry production and distribution networks. We provide example applications to broiler production in Bangladesh, but the modular structure of the model allows for easy parameterization to suit specific countries and system configurations. Moreover, the framework enables the replication of a wide range of eco-epidemiological scenarios by incorporating diverse pathogen life-history traits, modes of transmission and interactions between multiple strains and/or pathogens. EPINEST was developed in the context of an interdisciplinary multi-centre study conducted in Bangladesh, India, Vietnam and Sri Lanka, and will facilitate the investigation of the spreading patterns of various health hazards such as avian influenza, Campylobacter, Salmonella and antimicrobial resistance in these countries. Furthermore, this modelling framework holds potential for broader application in veterinary epidemiology and One Health research, extending its relevance beyond poultry to encompass other livestock species and disease systems.


Subject(s)
Epidemics , Influenza in Birds , Animals , Poultry , Chickens , Influenza in Birds/epidemiology , Zoonoses/epidemiology
6.
Antibiotics (Basel) ; 12(9)2023 Aug 24.
Article in English | MEDLINE | ID: mdl-37760658

ABSTRACT

Antimicrobial resistance is a global concern, posing risks to human and animal health. This research quantified antimicrobial resistance (AMR) in E. coli isolates from poultry fecal and environmental samples in Bangladesh and explored their association with antimicrobial use (AMU). We screened 725 fecal and 250 environmental samples from 94 conventional broilers and 51 Sonali farms for E. coli presence using MALDI-TOF mass spectrometry. AMU data were collected at flock levels, expressed as treatment incidence (TI), while minimum inhibitory concentrations (MIC) for 14 antibiotics were determined on five fecal E. coli isolates per farm and on all environmental isolates. MIC results were interpreted using human clinical breakpoints and EUCAST epidemiological cut-off values (ECOFFs). Acquired resistance against commonly used antimicrobial agents such as ciprofloxacin, tetracycline and ampicillin, was extremely high and predominantly clinically relevant. There was a moderate correlation between fecal and environmental antibiotic resistance index (ARI), but there was no significant correlation between AMU and AMR, suggesting that the observed AMR prevalence is unrelated to current AMU in poultry, but may be due to high historical AMU. A high level of multidrug resistance, including against critically important antimicrobials, was found in both farm types. Therefore, an AMR/AMU surveillance program is urgently needed in the poultry production sector of Bangladesh.

7.
Epidemics ; 44: 100703, 2023 09.
Article in English | MEDLINE | ID: mdl-37385853

ABSTRACT

The seasonality of African swine fever (ASF) outbreaks in domestic pigs differs between temperate and subtropical/tropical regions. We hypothesise that variations in the importance of wild boar-to-farm and farm-to-farm transmission routes shape these contrasting patterns, and we emphasise the implications for effective ASF control.


Subject(s)
African Swine Fever Virus , African Swine Fever , Swine Diseases , Swine , Animals , African Swine Fever/epidemiology , Sus scrofa , Disease Outbreaks/veterinary , Disease Outbreaks/prevention & control , Farms , Swine Diseases/epidemiology
8.
Trop Anim Health Prod ; 55(3): 179, 2023 Apr 29.
Article in English | MEDLINE | ID: mdl-37119359

ABSTRACT

In chickens, avian metapneumovirus (aMPV) causes the swollen head syndrome, a respiratory disease often associated with a reduction in egg production. The virus' epidemiology in East and Southeast Asia is poorly understood. An aMPV serological survey was conducted on broiler chicken farms of Hong Kong SAR to assess the seroprevalence of aMPV in unvaccinated batches and the serological status of vaccinated batches. Blood samples were collected from 53-93-day-old chickens in 24 chicken farms of Hong Kong SAR and sera were tested for aMPV antibodies by ELISA. Seroprevalence in aMPV unvaccinated birds was 80.6% (95% confidence interval (CI): 78.9-82.2) with a high variation between batches. Batch-level seroprevalence was not significantly different between birds hatched during the rainy season (74.3%, 95% CI: 64.0-84.5) and the ones hatched during the dry season (88.7%, 95% CI: 80.1-97.3, p = 0.5). The high seroprevalence and high antibody titers that are reported in this study indicate repeated exposure of broiler chickens to aMPV in Hong Kong SAR poultry farms. Based on these results, we recommend improving the surveillance of respiratory pathogens and applying appropriate prophylactic measures against aMPV such as vaccination.


Subject(s)
Metapneumovirus , Paramyxoviridae Infections , Poultry Diseases , Animals , Paramyxoviridae Infections/epidemiology , Paramyxoviridae Infections/veterinary , Chickens , Hong Kong/epidemiology , Antibodies, Viral
9.
Pathogens ; 12(2)2023 Feb 20.
Article in English | MEDLINE | ID: mdl-36839627

ABSTRACT

African swine fever (ASF) in domestic pigs has, since its discovery in Africa more than a century ago, been associated with subsistence pig keeping with low levels of biosecurity. Likewise, smallholder and backyard pig farming in resource-limited settings have been notably affected during the ongoing epidemic in Eastern Europe, Asia, the Pacific, and Caribbean regions. Many challenges to managing ASF in such settings have been identified in the ongoing as well as previous epidemics. Consistent implementation of biosecurity at all nodes in the value chain remains most important for controlling and preventing ASF. Recent research from Asia, Africa, and Europe has provided science-based information that can be of value in overcoming some of the hurdles faced for implementing biosecurity in resource-limited contexts. In this narrative review we examine a selection of these studies elucidating innovative solutions such as shorter boiling times for inactivating ASF virus in swill, participatory planning of interventions for risk mitigation for ASF, better understanding of smallholder pig-keeper perceptions and constraints, modified culling, and safe alternatives for disposal of carcasses of pigs that have died of ASF. The aim of the review is to increase acceptance and implementation of science-based approaches that increase the feasibility of managing, and the possibility to prevent, ASF in resource-limited settings. This could contribute to protecting hundreds of thousands of livelihoods that depend upon pigs and enable small-scale pig production to reach its full potential for poverty alleviation and food security.

10.
Front Vet Sci ; 10: 1070482, 2023.
Article in English | MEDLINE | ID: mdl-36846249

ABSTRACT

Introduction: Traditionally, it is believed that people's behaviours align with their attitudes; however, during COVID-19 pandemic, an attitude-behaviour gap in relation to preventive measures has been observed in recent studies. As such, the mixed-methods research was used to examine the relationships between farmers' biosecurity attitudes and behaviours in Taiwan's chicken industry based on the cognitive consistency theory. Methods: Content analysis of face-to-face interviews with 15 commercial chicken farmers identified their biosecurity responses to infectious disease threats. Results: The results indicated the mismatch of farmers' attitudes and behaviours towards specific biosecurity measures, in that they act differently than they think. The findings of the qualitative research allowed the research team to conduct the subsequent quantitative, confirmatory assessment to investigate the mismatch of farmers' attitudes and behaviours in 303 commercial broiler farmers. Survey data were analyzed to discover the relationships between farmers' attitudes and behaviours in relation to 29 biosecurity measures. The results show a mixed picture. The percentage of the farmers who had the attitude-behaviour gap towards 29 biosecurity measures ranged from 13.9 to 58.7%. Additionally, at the 5% significant level, there is an association between farmers' attitudes and behaviours for 12 biosecurity measures. In contrast, a significant association does not exist for the other 17 biosecurity measures. Specifically, out of the 17 biosecurity measures, the disconnection of farmers' attitudes and behaviours was observed in three specific biosecurity measures such as using a carcass storage area. Discussion: Based on a fairly large sample of farmers in Taiwan, this study confirms the existence of an attitude-behaviour gap in context and applies social theories to provide an in-depth understanding of how infectious diseases are managed in the animal health context. As the results demonstrate the necessity of tailoring biosecurity strategies to address the gap, it is time to reconsider the current approach by understanding farmers' real attitudes and behaviours in relation to biosecurity for the success of animal disease prevention and control at the farm level.

11.
BMC Vet Res ; 19(1): 30, 2023 Feb 01.
Article in English | MEDLINE | ID: mdl-36726131

ABSTRACT

BACKGROUND: Pig farming in Hong Kong differs markedly from other places in the world, with a highly urbanised population, the majority of pigs being imported for slaughter, and limited on-farm veterinary support. Little is known about the barriers and attitudes of pig farmers in Hong Kong and their expectations of a new pig health and production management service provided by veterinarians. We collected qualitative and quantitative data to 1) describe pig farms, 2) identify barriers to pig farming in Hong Kong and 3) describe the perceptions of the new service. Thematic analysis was conducted to identify barriers and attitudes. RESULTS: Eight and nine out of 38 pig farmers agreed to participate in the qualitative and quantitative components, respectively. All farms were farrow-to-finish farms with a median of 2800 (range 950 to 7000) pigs per farm. Three themes were identified during the interview analysis and could be ranked based on their importance to the farmers: the regulatory environment (Theme 1), veterinary support structures (Theme 2), and the sustainability of the pig industry (Theme 3). Farmers expressed dissatisfaction with the regulation of the industry and veterinary services on offer within Hong Kong. However, farmers did note that the provision of a new pig health and production management service was as a positive development. The public perception of pig farming, market forces, and competition from mainland pig farmers have resulted in sustainability challenges for the industry. CONCLUSIONS: Farmers identified very specific local systems and challenges unique to pig farming in Hong Kong. The lack of veterinary support was one of these challenges and although a certain level of scepticism towards the new pig health and production service was expressed, farmers indicated their interest and listed areas where they would benefit from improved veterinary support. Prior experiences of veterinary services clouded farmers perceptions of the usefulness of a new service. To be successful in this environment, clear communication about the goals, role and limitations of the new on farm service is crucial, as is the alignment with the needs of farmers. Despite the small sample size, the qualitative methodology used allows us to assume that these themes give a general idea of what Hong Kong farmers' concerns and attitudes are.


Subject(s)
Animal Husbandry , Farmers , Animals , Swine , Humans , Farms , Animal Husbandry/methods , Hong Kong , Surveys and Questionnaires , Health Knowledge, Attitudes, Practice
13.
Front Vet Sci ; 9: 959934, 2022.
Article in English | MEDLINE | ID: mdl-36046509

ABSTRACT

Commercial poultry is often farmed in high-density facilities, therefore, predisposing exposure to threats of infectious diseases. Studies suggest that it is likely that farmers have little motivation to practise on-farm biosecurity. In Taiwan, where high-density intensive poultry production is commonplace, unfortunately, several avian influenza outbreaks have occurred over the past decade despite the establishment of biosecurity procedures. To develop effective interventions, it is essential to understand the determinants of farmers' biosecurity mindset through systems thinking. In this qualitative study, we directly explored the opinions of Taiwan's chicken farmers, and a grounded theory analysis was performed. The study revealed that farmers allocate resources based on their justification for the optimisation of resource utilisation, and biosecurity is the most concerning challenge. Farmers focus on the economic aspects of their production systems, particularly when the implementation of biosecurity increases production costs, and there are multifaceted, complex barriers to implementing on-farm biosecurity. Although the participant farmers accepted to take major responsibility for disease management, paradoxically, some farmers blamed the practicality of government regulations and government employees' attitudes. Additionally, the farmers rejected the government's intentions to ask farmers to take major responsibility for the outbreaks of avian influenza while some of them intended to ignore the perceived risks. Government interventions that were considered not directly related to biosecurity also negatively influenced farmers' willingness to improve biosecurity. Using the interview results together with information in the scientific literature, we constructed a modified six-level social-ecological model to explain the complex influences of macro socio-economic conditions on farmers' biosecurity mindset. The novelty of this research lies in its wider relevance to Taiwan's chicken production industry in that it provides first-hand evidence-based knowledge to demonstrate a wide number of determinants of farmers' biosecurity mindset. This social-ecological model highlights the importance of systems thinking for the development of behavioural interventions and allows adaptation to the local context. The findings of this study have relevance to Taiwan's chicken production industry and potentially to similar systems in other countries in the wider region and should result in more effective animal health management at the farm level.

14.
Emerg Infect Dis ; 28(9): 1895-1898, 2022 09.
Article in English | MEDLINE | ID: mdl-35997512

ABSTRACT

In 2021, the world marked 10 years free from rinderpest. The United Nations Food and Agriculture Organization and World Organisation for Animal Health have since made great strides in consolidating, sequencing, and destroying stocks of rinderpest virus-containing material, currently kept by only 14 known institutions. This progress must continue.


Subject(s)
Rinderpest virus , Rinderpest , Viral Vaccines , Animals , Global Health , Rinderpest/epidemiology , Rinderpest/prevention & control , Rinderpest virus/genetics
15.
Ecohealth ; 19(3): 378-389, 2022 09.
Article in English | MEDLINE | ID: mdl-35948736

ABSTRACT

The Coronavirus Disease 2019 (COVID-19) spread rapidly from China to most other countries around the world in early 2020 killing millions of people. To prevent virus spread, world governments implemented a variety of response measures. This paper's objectives were to discuss the country's adopted measures to combat the virus through June 2020, identify gaps in the measures' effectiveness, and offer possible mitigations to those gaps. The measures taken included screening device deployment across international air and land ports, flight suspensions and closures from COVID-19 affected countries, and declaration and extension of a national public holiday (equivalent to lockdowns in other countries). Identified gaps were test kit, PPE, ICU beds, and ventilator shortages, limited public awareness, and insufficient coordination and collaboration among national and international partners. Proper and timely risk mapping, preparedness, communication, coordination, and collaboration among governments and organizations, and public awareness and engagement would have provided sufficient COVID-19 mitigation in Bangladesh.


Subject(s)
COVID-19 , Bangladesh/epidemiology , COVID-19/prevention & control , China , Communicable Disease Control , Humans , Suspensions
16.
Viruses ; 14(7)2022 06 23.
Article in English | MEDLINE | ID: mdl-35891349

ABSTRACT

Thailand is one of the countries where foot and mouth disease outbreaks have resulted in considerable economic losses. Forecasting is an important warning technique that can allow authorities to establish an FMD surveillance and control program. This study aimed to model and forecast the monthly number of FMD outbreak episodes (n-FMD episodes) in Thailand using the time-series methods, including seasonal autoregressive integrated moving average (SARIMA), error trend seasonality (ETS), neural network autoregression (NNAR), and Trigonometric Exponential smoothing state−space model with Box−Cox transformation, ARMA errors, Trend and Seasonal components (TBATS), and hybrid methods. These methods were applied to monthly n-FMD episodes (n = 1209) from January 2010 to December 2020. Results showed that the n-FMD episodes had a stable trend from 2010 to 2020, but they appeared to increase from 2014 to 2020. The outbreak episodes followed a seasonal pattern, with a predominant peak occurring from September to November annually. The single-technique methods yielded the best-fitting time-series models, including SARIMA(1,0,1)(0,1,1)12, NNAR(3,1,2)12,ETS(A,N,A), and TBATS(1,{0,0},0.8,{<12,5>}. Moreover, SARIMA-NNAR and NNAR-TBATS were the hybrid models that performed the best on the validation datasets. The models that incorporate seasonality and a non-linear trend performed better than others. The forecasts highlighted the rising trend of n-FMD episodes in Thailand, which shares borders with several FMD endemic countries in which cross-border trading of cattle is found common. Thus, control strategies and effective measures to prevent FMD outbreaks should be strengthened not only in Thailand but also in neighboring countries.


Subject(s)
Cattle Diseases , Foot-and-Mouth Disease , Animals , Cattle , Cattle Diseases/epidemiology , Disease Outbreaks/prevention & control , Disease Outbreaks/veterinary , Farms , Foot-and-Mouth Disease/epidemiology , Foot-and-Mouth Disease/prevention & control , Incidence , Thailand/epidemiology
17.
Transbound Emerg Dis ; 69(5): e3370-e3378, 2022 Sep.
Article in English | MEDLINE | ID: mdl-35737577

ABSTRACT

To honour the 100 years anniversary of the first publication about African swine fever (ASF) a webinar with a particular focus on disease control in the smallholder sector was organized. This article is based on the webinar, summarizing the early history of ASF research, reflecting on the current global disease situation and bringing forward some suggestions that could contribute towards achieving control of ASF. The first description of ASF by R. Eustace Montgomery in 1921 laid the foundations for what we know about the disease today. Subsequent research confirmed its association with warthogs and soft ticks of the Ornithodoros moubata complex. During the latter half of the 21st century, exponential growth of pig production in Africa has led to a change in the ASF-epidemiology pattern. It is now dominated by a cycle involving domestic pigs and pork with virus spread driven by people. In 2007, a global ASF epidemic started, reaching large parts of Europe, Asia and the Americas. In Europe, this epidemic has primarily affected wild boar. In Asia, wild boar, smallholders and industrialized pig farms have been affected with impact on local, national and international pig value chains. Globally and historically, domestic pigs in smallholder settings are most frequently affected and the main driver of ASF virus transmission. Awaiting a safe and efficacious vaccine, we need to continue focus on other measures, such as biosecurity, for controlling the disease. However, smallholders face specific challenges linked to poverty and other structural factors in implementing biosecurity measures that can prevent spread. Improving biosecurity in the smallholder sector thus remains an important tool for preventing and controlling ASF. In this regard, interdisciplinary research can help to find new ways to promote safe practices, facilitate understanding and embrace smallholders' perspectives, engage stakeholders and adjust prevention and control policies to improve implementation.


Subject(s)
African Swine Fever Virus , African Swine Fever , Swine Diseases , African Swine Fever/epidemiology , African Swine Fever/prevention & control , Animals , Europe/epidemiology , Farms , Humans , Sus scrofa , Swine
18.
Animals (Basel) ; 12(12)2022 Jun 10.
Article in English | MEDLINE | ID: mdl-35739857

ABSTRACT

The present study aimed to investigate the quality of newly hatched broiler chicks delivered to Hong Kong (imported or local), and to develop tailored recommendations to improve their management. During 2019-2021, 70 batches (34 imported from mainland China and 36 local) of one/three day old chicks on 11 broiler farms were studied. From each batch, 23 or 24 chicks (1647 in total) were assessed for abnormalities in appearance, navel, crop filling, dehydration, body weight, and length uniformity. Chicks were sacrificed, and yolk sac residues in three day old chicks were measured. Maternally derived antibody levels against Newcastle disease virus (NDV), infectious bursal disease virus (IBDV), and avian reovirus (ARV) were measured in all chicks using an enzyme-linked immunosorbent assay (ELISA). The proportion of abnormal navel in most batches is high (median: 59%), ranging between 0 and 100%. The average length of chicks within batches ranges between 16.3 and 20.7 cm, and their average weights are 31-38.5 g upon delivery to the farms. On average, imported batches have a higher body weight and length than their local counterparts. The average yolk-free weight varies between 45 and 55 g, which is significantly lower in local batches (33-43 g). The mean antibody titers against NDV and ARV are higher in imported batches than in the local ones. In contrast, the mean antibody titer against IBDV is significantly lower in the imported batches. Concerning the overall lower quality of local chicks compared to the imported batches, establishing a well-managed broiler breeder farm and a hatchery in Hong Kong is highly recommended to enhance the health and productivity of the local broiler chicken industry.

19.
Vet Sci ; 9(2)2022 Feb 14.
Article in English | MEDLINE | ID: mdl-35202333

ABSTRACT

Infection of pig farms with porcine reproductive and respiratory syndrome virus (PRRSV) and porcine circovirus type 2 (PCV2) causes substantial economic losses globally. However, little epidemiological data of PRRSV and PCV2 in the Hong Kong Special Administrative Region (HKSAR) were available. This pilot study aimed to provide baseline information of the prevalences of PPRSV and PCV2 in the HKSAR. A complex survey was conducted from 3 February 2020 to 11 March 2021 on 29 of the 40 pig farms in the HKSAR, with five pigs each from seven age groups (representing key production stages) tested using a real-time PCR. Evidence of presence of PRRSV European strain (PRRSV-1), PRRSV North American strain (PRRSV-2) and PCV2 was confirmed on 48%, 86% and 79% of farms, with overall prevalences of 7.6% (95% CI: 4.8-10.3%), 12.2% (95% CI: 9.6-14.7%) and 20.3% (95% CI: 14.3-26.2%) in the HKSAR pig population based on pooling results from all pigs across all farms. PRRSV-1 and PRRSV-2 were more prevalent in younger pigs, with the highest prevalences of 32.1% (95% CI: 20.8-45.0%) and 51.5% (95% CI: 38.9-64.0%) for 8-week-old pigs. In contrast, the distribution of PCV2 prevalence across age groups appeared to be more symmetrical, with higher prevalences reported in pigs from 12 weeks old to 24 weeks old but lower prevalences in younger pigs and sows. The results of this study demonstrate that PRRSV-1, PRRSV-2 and PCV2 are widely spread across pig farms in the HKSAR, which indicates that the current farm management and control protocols should be improved. We recommend the implementation of on-farm intervention strategies combined with ongoing surveillance to reduce these viruses, and their consequences, in the HKSAR pig population.

20.
Prev Vet Med ; 201: 105596, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35220040

ABSTRACT

Bayesian finite mixture models, frequently referred to as Bayesian latent class models have become increasingly common for diagnostic test data in the absence of a gold standard test. Most Bayesian analyses in the veterinary literature have dealt with a dichotomised diagnostic outcome. The use of Bayesian finite mixture models for continuous test outcomes, such as sample to positive (S/P) ratios produced by an ELISA, is much less common, despite continuous models taking advantage of all of the information captured in the test outcome. This paper revisits the idea of the Bayesian finite mixture model and provides a practical guide for researchers who would like to use this approach for modelling continuous diagnostic outcomes as it preserves all information from the observed data. Synthetic datasets and a dataset from literature were analysed to illustrate that a mixture model with continuous diagnostic outcomes can be used to estimate true prevalence and to evaluate test sensitivity and specificity. In addition, directly modelling the continuous test outcomes rather than dichotomising them, means that optimal cut-offs can be defined based on the test purpose rather than being determined before testing. Moreover, as animals with higher scores are more likely to be infected, using continuous data allows test interpretation to be made at the individual animal level. In contrast, dichotomization treats all animals above a cut-off as having the same infection risk. This study demonstrates that dichotomisation is not a 'must' when using Bayesian latent class analysis for diagnostic test data, and suggests that latent class analysis using continuous test outcomes should be favoured when evaluating veterinary diagnostic tests producing continuous outcomes.


Subject(s)
Latent Class Analysis , Animals , Bayes Theorem , Enzyme-Linked Immunosorbent Assay/veterinary , Prevalence , Sensitivity and Specificity
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