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Epidemics. Disease transmission on fragmented contact networks: Livestock-associated Methicillin-resistant Staphylococcus aureus in the Danish pig-industry

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  • Epidemics. Disease transmission on fragmented contact networks: Livestock-associated Methicillin-resistant Staphylococcus aureus in the Danish pig-industry

    [Source: Epidemics, full page: (LINK). Abstract, edited.]

    Epidemics, Available online 15 September 2012

    Disease transmission on fragmented contact networks: Livestock-associated Methicillin-resistant Staphylococcus aureus in the Danish pig-industry

    M. Ciccolini<SUP>a</SUP>, J. Dahl<SUP>b</SUP>, M.E. Chase-Topping<SUP>a</SUP>, M.E.J. Woolhouse<SUP>a</SUP>
    <SUP></SUP>
    <SUP>a</SUP> Centre for Immunity, Infection and Evolution, University of Edinburgh, King's Buildings, West Mains Road, Edinburgh EH9 3JT, UK; <SUP>b</SUP> Danish Agriculture & Food Council, Axelborg, Axeltorv 3, DK-1609 Copenhagen, Denmark

    Received 9 December 2011 / Revised 17 August 2012 / Accepted 7 September 2012 / Available online 15 September 2012 / http://dx.doi.org/10.1016/j.epidem.2012.09.001



    Abstract

    Animal trade in industrialised livestock-production systems creates a complex, heterogeneous, contact network that shapes between-herd transmission of infectious diseases. We report the results of a simple mathematical model that explores patterns of spread and persistence of livestock-associated Methicillin-resistant Staphylococcus aureus (LA-MRSA) in the Danish pig-industry associated with this trade network. Simulations show that LA-MRSA can become endemic sustained by animal movements alone. Despite the extremely low predicted endemic prevalence, eradication may be difficult, and decreasing within-farm prevalence, or the time it takes a LA-MRSA positive farm to recover a negative status, fails to break long-term persistence. Our results suggest that a low level of non-movement induced transmission strongly affects MRSA dynamics, increasing endemic prevalence and probability of persistence. We also compare the model-predicted risk of 291 individual farms becoming MRSA positive, with results from a recent Europe-wide survey of LA-MRSA in holdings with breeding pigs, and find a significant correlation between contact-network connectivity properties and the model-estimated risk measure.



    Highlights

    - We model the between-farm transmission of LA-MRSA in the Danish pig-industry. - Movement-induced transmission alone can yield a high probability of persistence at very low prevalence. - There are currently no practical, low-cost, farm-based control strategies that will effectively tackle endemicity in the pig-industry. - A low level of non-movement induced transmission strongly affects colonisation dynamics.



    Keywords

    LA-MRSA; MRSA ST398; Livestock movement network; Mathematical model

    Copyright ? 2012 Published by Elsevier B.V.



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