Estimating the potential for disease spread in horses associated with an equestrian show in Ontario, Canada using an agent-based model
Authored by Amy L Greer, Zvonimir Poljak, Kelsey L Spence, Terri L O'Sullivan
Date Published: 2018
DOI: 10.1016/j.prevetmed.2017.12.013
Sponsors:
Ministries of Ontario
Equine Guelph
Canada Research Chairs program
Platforms:
No platforms listed
Model Documentation:
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Abstract
Participation in equestrian shows provides opportunities for contact
between horses, increasing the risk of disease introduction and spread
within the population. The magnitude of a potential outbreak, and the
impact of disease prevention and control strategies, can be estimated
using simulation modeling. The objectives of this study were to (1)
examine the potential spread of equine influenza in a network of horses
associated with a 2-day equestrian show in Ontario, Canada; and (2)
determine the effectiveness of several interventions during a simulated
outbreak. A discrete-event, continuous-time, stochastic agent-based
simulation model was constructed to represent horses associated with the
show, including those in attendance at the show, and those that were not
in attendance but co-boarded with attending horses at their home
facilities. At the beginning of each simulation run, one random horse in
attendance at the show was infected with equine influenza. In the
absence of interventions, the median attack rate was 0.029 (IQR:
0.016-0.056; mean: 0.043; 95\% CI: 0.040-0.044) and the average outbreak
duration was 19.58 days (95\% CI: 19.31-19.85). The most effective
intervention was the implementation of either a 5-day or 14-day
quarantine period, which both resulted in the same median attack rate of
0.0026 (IQR 0.0013-0.0039), although the mean attack rates differed
(mean: 0.0043, 95\% CI: 0.0039-0.0046; and mean: 0.0029, 95\% CI:
0.0028-0.0029; respectively). In instances where implementing either a
5-day or 14-day quarantine period would not be feasible, quarantine for
shorter time periods was effective when combined with targeted increases
in initial facility-level vaccine coverage. The combined implementation
of a 2-day quarantine period and an increased vaccine coverage of 75\%
in facilities with four or more owners resulted in a median attack rate
of 0.013 (IQR: 0.0052-0.026; mean: 0.022; 95\% CI: 0.020-0.024). This
study demonstrates a relative comparison of intervention effectiveness
during a simulated outbreak of equine influenza in a population of
horses associated with an equestrian show. The results have the
potential to inform and improve the current strategies used to prevent
the introduction and spread of disease within the equine population.
Tags
Agent-based model
Computer simulation
Infection
Social Network Analysis
population
Biosecurity
Virus
Mathematical-models
New-zealand
Equine
Equine influenza
Equine influenza outbreak
Vaccination
strategies
Racehorse facilities