1 Influence on disease spread dynamics of herd characteristics in a structured livestock 2 industry. 3 Tom Lindström1, Susanna Sternberg Lewerin2 and Uno Wennergren1 4 5 1 IFM Theory and Modelling, Linköping University, 581 83 Linköping, Sweden 6 2 Department of Disease Control and Epidemiology, SVA, National Veterinary Institute, 751 7 89 Uppsala, Sweden 8 9 Keywords: Disease spread modelling, Heterogeneous contact structure, Animal movement 10 11 Summary: Studies of between herd contacts may provide important insight to disease 12 transmission dynamics. By comparing the result from models with different level of details in 13 the description of animal movement we studied how factors influence the final epidemic size 14 as well as the stochastic behaviour of an outbreak. We investigated the effect of contact 15 heterogeneity of pig herds in Sweden due to herd size, between herd distance and production 16 type. Our comparative study suggests that the production type structure is the most influential 17 factor. Hence, our results imply that production type is the most important factor to obtain 18 valid data for and include when modelling and analyzing this system. The study also revealed 19 that all included factors reduce the final epidemic size and also have yet more diverse effects 20 on initial rate of disease spread. This implies that a large set of factors ought to be included to 21 assess relevant predictions when modelling disease spread between herds. Furthermore our 1 1 results show that a more detailed model predicts more stochastic outbreaks and conclude that 2 this is an important factor to consider in risk assessment. 3 4 1. Introduction 5 With the aim of providing deeper understanding of the dynamics of livestock disease, 6 researchers have recently focused much attention on the contact pattern between herds [1-6]. 7 Such analysis may be used for predictions about disease transmission [7] as well as estimation 8 of the effect of a changed contact pattern [8]. This study focuses on animal movements. 9 Different diseases spread with different vectors, but movements of animals between herds are 10 generally considered to be the main risk factor for livestock disease transmission [9]. 11 Theoretical considerations may assume a homogeneous contact pattern with equal 12 probabilities of infections between all herds, known as mass action mixing (MAM), but more 13 realistic models need to include mixing heterogeneities. Perhaps most obvious, the number of 14 contacts may be expected to differ between herds [5,10]. Infected herds with many contacts 15 may rapidly infect a large number of other herds, and thereby function as “super spreaders” 16 [11]. Outbreaks in systems with super spreaders are characterized by stochastic transmission 17 dynamics [12]. In other systems where contacts may be considered undirected, such as for e.g. 18 sexually transmitted diseases, it may further be expected that the presence of actors with many 19 contacts will result in a rapid increase in number of infections [13]. The contact structure of 20 animal movements may however be considered highly directed and a herd that sends many 21 animals to other herds may not necessarily receive many [4]. 22 Also, the contact structure may show heterogeneities by some sort of clustering which is 23 known to influence the dynamic of disease transmission [14]. If infectious contacts occur 24 more frequently within a group of herds, the reproductive ratio generally decreases more 2 1 rapidly with decreasing number of susceptibles. Assuming that a herd can only be infected 2 once, reoccurring contacts between two herds will not generate additional disease 3 transmissions. Also, the effect of clustering may be illustrated by how it is usually quantified 4 in network studies, i.e. clustering coefficient, which measures the frequency of “triplets” in 5 the contact network [14]. 6 In this study we focus on three factors at herd and between herd levels that may cause 7 heterogeneous contact patterns. First, clustering is typically the effect of a strong spatial 8 component in the contact pattern. Consequently, if contacts occur more likely at shorter 9 distance we may expect a more rapid decrease in the number of new infections due to 10 depletion of local susceptible herds. Secondly, a large herd may be expected to have more 11 contacts and may thereby be more susceptible to infections as well as potentially infecting 12 many other herds. Thirdly, the production type of a herd is expected to influence both the 13 number of contacts as well as with which other herds the contacts occur. Heterogeneity due to 14 different production types is therefore expected to result in stochastic disease transmission as 15 well as clustering patterns in the contact structure. In addition, the number of movements 16 from herds of one type to another may be very different from the number of reversed 17 movements [4,5]. 18 Lindström et al. [5] presented a model that estimated the probability of movements of pigs 19 between herds based on herd sizes, production types and between herd distances. In this study 20 we test how inclusion of these aspects are expected to change the dynamics of disease 21 transmission via animal movements. We expect that important characteristics may be missed 22 if these aspects are disregarded in modelling of between-herd contacts. Our aim is to 23 investigate the effect of including detailed herd data on the expected dynamics of disease 24 transmission via animal movements. We thereby address the importance of collecting such 25 data. 3 1 2 2. Transmission and mass action mixing 3 In this study we study infections at the herd level. We follow the assumptions of SIR models, 4 where a herd is considered to be either susceptible (S), infected (I) or recovered (R). We 5 further assume that recovered herds remain in state R for the time of the outbreak (hence 6 become immune) and no new herds are added during the time of an outbreak. If all herds are 7 equal and has equal probability of contacts, disease transmission could be modeled as a MAM 8 process. In this study we are not interested in the dynamics of any specific disease, but rather 9 the influence of the observed contact structure, and we therefore want to make as few 10 assumptions as possible about the disease. In order to observe relevant dynamics we do 11 however need to make assumptions about the recovery of a herd. We therefore assume that an 12 infected herd has a constant recovery rate π. Further we assume that there is a constant rate of 13 movements (which is generally a fair assumption on a seasonal time scale for the considered 14 pig movements [2]). We thereby formulate a discrete time model where every time step 15 consists of first a probability of recovery for every infected herd and one movement which 16 results in a new infection if the source herd is infected and the destination herd is susceptible. 17 The expected number of herds remaining infected is (1 − π)πΌπ‘ and with the assumption of 18 MAM, the probability of the source farm being infected is ((1 − π)πΌπ‘ )⁄π, where π is the 19 total number of herds and πΌπ‘ is the current number of infected herds, and the probability of the 20 destination herd being susceptible is given by ππ‘ ⁄(π − 1). Hence, the expected number of 21 susceptible, infected and recovered herds at time π‘ + 1 is given by 4 ππ‘+1 = ππ‘ − (1 − π)πΌπ‘ ππ‘ π π−1 πΌπ‘+1 = (1 − π)πΌπ‘ + (1 − π)πΌπ‘ ππ‘ π π−1 (1) π π‘+1 = π π‘ + ππΌπ‘ 1 If a disease is initiated with one infected herd at π‘ = 0, then πΌ0 = 1, π0 = π − 1 and an 2 outbreak is expected if πΌ1 = (1 − ππ )(1 + 1⁄π) > 1, or rewritten ππ < 1 − 1 1 π+1 (2) 3 where ππ is the critical value for when an initial increase in the number of infected herds is 4 expected. In the analysis of pig movements in Lindström et al. [5] 20231 movements between 5 3084 herds were analyzed. With π = 3084 in equation 2, ππ = 3.24 × 10−4 . The expected 6 time that a herd remains infected, π, is given as π = 1⁄π, where π = − log(1 − π). In order 7 to calculate ππ , the critical expected time a herd must remain infected for an expected initial 8 increase in the number of infected herds, we set π = ππ and with an average of 9 20231/365=55.4 daily movements we estimate ππ at 55.7 days. 10 11 3. The pig farming industry of Sweden 12 The pig industry has a pyramidal structure with transports predominantly going downward in 13 the system; from nucleus (breeder) herds to multiplying (gilt producing) herds, from 14 multiplying herds to piglet producing herds and farrow-to-finish herds, and finally from piglet 15 producing herds to fattening herds. Farrow-to-finish herds and fattening herds mainly send 16 animals to slaughterhouses. An exception from the general movement pattern is the sow pool 17 system, where the sows are covered in the central unit and they farrow in the satellite herds. 5 1 Satellite herds can be either piglet producing or farrow-to-finish herds. The sows are regularly 2 moved back and forth between the central unit and the satellite herds. In Lindström et al. [5] it 3 was shown that sow pool centers, nucleus herds and multiplying herds are expected to 4 transmit a disease to a large number of herds, based on the contact structure of animal 5 movements. It was also showed that sow pool centers likely generate transmission locally, 6 while many long distance movements are expected from multiplying herds, which may 7 rapidly spread diseases to distant areas. 8 9 4. The contact model 10 In Lindström et al. [5], a model was proposed where the probability of a movement between 11 two herds depends on production type, between herd distance and herd sizes. Parameters were 12 estimated using a hierarchical Bayesian approach, implementing Markov Chain Monte Carlo 13 (MCMC) (see e.g. [15] for details on MCMC techniques). It is beyond the scope of this paper 14 to give a full description of the model and the parameter estimations involved, and readers are 15 referred to the original paper for further details. The basic concept of the model is that it is 16 assumed that the probability of a movement from herd π to π, π(π, π |π½), where π½ refers to a 17 set of parameters yet to be specified, can be written as π(π, π |π½) = π(π|π , π½)π(π |π½) (3) 18 meaning that the destination herd is conditional on the source herd. Herds may have more 19 than one production type, and the model was formulated as a mixture model. Probability of 20 movements between herds were given conditional on the probability of a movement between 21 production types πΌ and π½, referring to the production types of the source and destination herd, 22 respectively. Schematically, the model is written 6 π(π, π |π½) = ∑ ∑ π(π|π , πΌ, π½, π½)π(π |πΌ, π½)π(πΌ, π½|π½) πΌ (4) π½ 1 This should be interpreted such that the probability π(π, π |π½) is given as the probability of π 2 conditional on π and production types πΌ, π½ as π(π|π , πΌ, π½, π½), and the probability of source herd 3 π(π |πΌ, π½) is conditional on the production type πΌ. The distribution π(πΌ, π½|π½) is defined such 4 that ∑πΌ ∑π½ π(πΌ, π½|π½) = 1 and is given as Μ, π) = π(πΌ, π½|π½) = π(πΌ, π½|π ΜπΌ π ΜΜπ½πΌ βπΌπ½ π ΜπΌ π ΜΜπ½πΌ ∑πΌ ∑π½ βπΌπ½ π (5) 5 ΜπΌ = ∑π π£ΜππΌ is the amount of herds registered with production type πΌ, taken where is given as π 6 ΜΜπ½πΌ = ∑π π£Μππ½ (1 − into account that a herd is a fraction π£ΜππΌ of production type πΌ. Similarly, π 7 π£ΜππΌ ) ΜπΌ π 8 probability of the destination herd being the same as the source herd. For modelling of a 9 system with πΎ production types, π is a matrix of dimensions πΎ × πΎ and is defined as 10 ∑πΌ ∑π½ βπΌπ½ = 1, and βπΌπ½ is a measurement of how common movements between production 11 types πΌ and π½ are relative to the abundance of the types. If βπΌπ½ = 1⁄πΎ 2 for all πΌπ½, then 12 movements between all production types are equally probable. 13 The probability π(π |πΌ, π½) was assumed to be dependent on the production type πΌ and herd 14 size. The latter was given by the maximum capacity, which is reported separately for fattening 15 pigs and sows. This was modeled as is the amount of herds registered with production type π½, but adjusted to exclude the Μ, πΌ, πΊ) = π(π |πΌ, π½) = π(π |π π£Μπ πΌ πΊ(π1π , π2π , πΜ1πΌ , πΜ2πΌ ) ∑π π£ΜππΌ πΊ(π1π , π2π , πΜ1πΌ , πΜ2πΌ ) (6) 16 where π1π and π2π are the maximum capacity of fattening pigs and sows, respectively, 17 reported for herd π , and πΊ refers to the maximum capacity of both demographic groups on all 7 1 herds. The parameters πΜ1πΌ and πΜ2πΌ determine how probability of movements depends on π1 2 and π2 , respectively, for production type πΌ. The probability of movements were assumed to 3 depend on herd size with a power law relationship and πΊ were given as πΊ(π1π , π2π , πΜ1πΌ , πΜ2πΌ ) = (π1π + 1) πΜ1πΌ (π2π + 1) πΜ2πΌ (7) 4 The use of ππ’π + 1 (π’ = 1,2) rather than simply ππ’π was used to avoid zero probability of 5 movements from herds with maximum capacity reported as zero for any of the demographic 6 groups. If πΜπ’πΌ = 0, then there is no relationship between maximum capacity of demographic 7 group π’ and the probability of movements starting at a herd for production type πΌ. 8 The probability of the destination herd π of a movement was assumed to depend on both herd 9 size of π and the distance between herds π and π, π·π π , and given as Μ, π , πΌ, π½, πΊ, π«, πΜ π± , π πΌπ½ , ππΌπ½ ) π(π|π = π£Μππ½ πΊ(π1π , π2π , πΜ1π½ , πΜ2π½ )πΉ(π·π π , π πΌπ½ , ππΌπ½ ) ∑π π£Μππ½ πΊ(π1π , π2π , πΜ1π½ , πΜ2π½ )πΉ(π·π π , π πΌπ½ , ππΌπ½ ) (8) ,π ≠ π 10 Here, πΜ1π½ and πΜ2π½ are equivalents of πΜ1πΌ and πΜ2πΌ , respectively, but used for modelling of the 11 probability of the destination herd depending on herd sizes. Consequently, πΜπ’π½ = 0 (π’ = 1,2) 12 means that there is no relationship between maximum capacity of demographic group π’ and 13 the probability of movements starting at a herd for production type π½. The function 14 πΉ(π·π π , π πΌπ½ , ππΌπ½ ) is a spatial kernel function and describes how probability of movements 15 decreases with distance between herds, where π πΌπ½ and ππΌπ½ are the kernel kurtosis and variance, 16 respectively, as given in [16]. In equation 8, distance dependence is incorporated by 17 normalizing over all possible destination farms and kurtosis are expected to be of less 18 importance compared to the variance, independent of the spatial arrangement of farms [17]. 19 8 1 5. Reduced models and simulations 2 In order to test the effect of the factors included in the contact model on outbreak dynamics 3 we simulated disease transmission via animal movements with different models. If nothing 4 else is stated, all models were parameterized by random draws (one draw for every 5 simulation) from the full posterior distribution estimated with the MCMC as given in 6 Lindström et al. [5]. The following six models were used: 7 ππΉπ’ππ : The full model as described in section 4. 8 ππΜ,π Μ : Production type differences in contact probabilities related to distance was removed by 9 setting ππΌπ½ = πΜ and π πΌπ½ = π Μ for all πΌ, π½. The values πΜ and π Μ were given, for each simulation, 10 by random draws from the estimated hierarchical priors of the parameters. For details on 11 hierarchical priors, see e.g. [18]. 12 ππππ· : By setting πΉ(π·π π , π πΌπ½ , ππΌπ½ ) = 1, distance dependence is removed. Hence, probabilities 13 of contacts depend only on production types and herd sizes. 14 πβΜ : If βπΌπ½ = βΜ = 1⁄πΎ 2 for all πΌ, π½, then the production type structure of the contact pattern is 15 removed. 16 ππ=0 : The probability of contacts depending on herd size was removed by setting πΜ1πΌ = πΜ2πΌ = 17 πΜ1π½ = πΜ2π½ = 0 for all πΌ, π½. 18 πππ΄π : All herds have the same probability of sending and receiving movements. 19 By implementing reduced versions of the full model we aim to show what difference the 20 included factors have on the dynamic and thereby may be missed if these factors are excluded 21 in modelling of spread of livestock disease via between herd contacts. The full model is by no 22 means a “true model”, but it’s the most detailed description of the system. 1000 replicates 9 1 were simulated with each model and the herds included in the analysis in [5] were used as 2 infective units in the simulations. A herd was assumed to instantly become infected if a 3 movement was simulated from infected herd A to susceptible herd B, and any subsequent 4 movement from B to a susceptible herd were assumed to result in a new infected herd. The 5 mean expected time a herd remains infected (and infective) was set to π = 91. At least for 6 πππ΄π , this is expected to result in an outbreak, given the analysis of section 2. 7 To compare the dynamics predicted by the different models we plot the mean number of 8 infected individuals versus time from first infection. We also compare the final epidemic size 9 as well as the number of currently infected and recovered herds at π‘ = 1552, corresponding to 10 the expected number of movements of four weeks. The latter gives an indication of the 11 stochastic behaviour of the initial stage of an outbreak. We are however interested in the 12 dynamics also at later stages and therefore require a measure that captures the variability of 13 the change in the number of infected herds. For this, we first define πΌΜπ‘,π₯,π and πΌΜπ‘+π,π₯,π as the 14 simulated number of infected herds at time π‘ and π‘ + π, respectively, for replicate π₯ and 15 Μ model π. Further, we define πΌπ‘+π,π₯,π as the number of infected herds at time π‘ + π expected 16 from a MAM transmission. This is calculated by equation 1, given the simulated number of 17 susceptible, infected and recovered herds at π‘. We then define πΊΜπ‘,π₯,π = πΌΜπ‘+π,π₯,π ⁄πΌΜπ‘,π₯,π and 18 Μ πΊΜπ‘,π₯,π = πΌπ‘+π,π₯,π ⁄πΌΜπ‘,π₯,π , as the simulated and predicted growth rate, respectively, at time π‘, 19 replicate π₯ and model π and calculate the growth rate ratio πΆπ‘,π₯,π = πΊΜπ‘,π₯,π ⁄πΊΜπ‘,π₯,π . As both 20 πΊΜπ‘,π₯,π and πΊΜπ‘,π₯,π contains πΌΜπ‘,π₯,π in the numerator, this may however be rewritten as πΆπ‘,π₯,π = 21 Μ πΌΜπ‘+π,π₯,π ⁄πΌπ‘+π,π₯,π . This was calculated for π‘ = 0, π, 2π … ππ₯,π π where ππ₯,π is defined as the 22 largest integer satisfying ππ₯,π π < πΈπ₯,π . Here πΈπ₯,π is the time of extinction for replicate π₯ and 23 model π and we chose π = 776, corresponding to the expected number of movements of 14 10 1 Μ days. We then define πΆπ₯,π as the mean value of πΆ for replicate π₯ and calculate the coefficient 2 of variation as Μ )2 ] √E [(πΆπ‘,π₯,π − πΆπ₯,π ππ₯,π = Μ πΆπ₯,π . (9) 3 This is a measurement of the stochasticity of the growth rate, adjusted to take into account the 4 expected (from MAM assumptions) differences in growth rate depending on the current 5 number of susceptible, infected, and recovered herds. As we use a coefficient of variation 6 measure we also avoid confusing differences in mean growth rate with the stochastic 7 behaviour of the disease transmission. The initial stage of an outbreak (which is analyzed 8 separately) is inherently stochastic due to the risk of early extinction [19], but this is not the 9 effect we want to capture with ππ₯,π . We therefore exclude simulations where the disease went 10 extinct prior to reaching at least 10 herds when comparing ππ₯,π of the different models. 11 12 6. Results and discussion 13 Figure 1 shows the mean number of infected herds at time after first infection. Removing the 14 production type structure, as is done in πβΜ , has the highest impact when comparing the 15 curves to the full model, ππΉπ’ππ . However, other factors are also essential as πβΜ differs from 16 πππ΄π , most noticeably in the modes of the curves. The maximum value for πβΜ occurs 17 earlier, and there is initially a more rapid increase in the number of infected herds. Such 18 dynamic is expected if some actors, in this case (generally) larger herds, are found to have 19 more contacts [13]. Further, the final epidemic size is smaller for πβΜ than πππ΄π (Table 1) 20 indicating that while there is initially on average a (slightly) higher rate of infections for πβΜ , 21 the reversed is found in later stages of the outbreak. Kiss et al. [20] conclude that 11 1 heterogeneity in the number of contacts, which in πβΜ is introduced as an effect of herd size, 2 may lead to a smaller final epidemic size. Also, πβΜ includes distance dependence in contact 3 probability which leads to local depletion of susceptibles. This effect is more prominent in 4 later stages of an outbreak, and therefore more so in πβΜ than ππΉπ’ππ as the epidemic usually is 5 larger. 6 The effect of herd sizes and between herd distances is also shown more explicitly by the 7 difference between ππ=0 and ππππ· , respectively, and the full model ππΉπ’ππ . Both show a 8 slightly larger mean epidemic size (Table 1) and, as expected, the mode of ππ=0 is shifted 9 right compared to ππΉπ’ππ in Figure 1. The only model showing a lower epidemic size than 10 ππΉπ’ππ is ππΜ,π Μ (Table 1). There is a higher degree of variability in movement distances in ππΉπ’ππ 11 which allows more extreme long distance movements. Interactions between which production 12 types are commonly in contact with each other and how the contact probability is influenced 13 by distance in the full model may further explain the difference between ππΉπ’ππ and ππΜ,π Μ . This 14 result may therefore be specific for the analyzed pig movements and should not necessarily be 15 expected in other systems. Our results do however show that, in this system, the effect was 16 apparent and the models differ in later stages of the outbreak (Figure 1). 17 The embedded axes in Figure 1 show the mean differences in number of infected herds at the 18 initial stages of the simulated outbreaks, but important features of the outbreak is neglected if 19 only the mean is considered. Figure 2 shows the distribution of initially infected herds 20 generated with each model. Little difference is found for the percentiles 50% and 75%, but 21 more extreme values are found for models deviating from MAM assumptions, particularly 22 models ππΉπ’ππ , ππΜ,π Μ and ππππ· . Hence, while πππ΄π is a good predictor of the mean number 23 of cases at the initial stage (there is little differences between πππ΄π and ππΉπ’ππ in the 24 embedded axes of Figure 1), it overlooks the possibility of rapid increase in the number of 12 1 infected herds. Some production types, such as Nucleus herds and Multiplying herds, send 2 many animals to other herds and while these types are rare, they may function as super 3 spreaders and rapidly spread the disease to many other herds if they are infected at an early 4 stage of an outbreak. The simulations are initiated with one randomly infected herd and most 5 herds are of types that rarely send animals other than to slaughterhouses. 6 The production type structure also causes stochastic behaviour in the later stages of the 7 outbreak scenario. While the lowest median of π was found for πππ΄π (Figure 3), removal of 8 the production type structure, as is done in πβΜ , reduces the stochasticity more than removal of 9 other factors (as in ππππ· or ππ=0). However, as for the final epidemic size, both herd sizes 10 and the spatial component affect the stochasticity and the only model that doesn’t show a 11 significantly lower median of π compared to ππΉπ’ππ is ππΜ,π Μ . The spatial kernels estimated in 12 Lindström et al. [5] were mainly leptokurtic, i.e. a fat tail describing long distance contacts. 13 These may spark new infections in areas were local depletion of susceptibles has not yet 14 occurred, and such dynamic has been observed for instance in the UK 2001 outbreak of foot 15 and mouth disease [21]. To avoid the false impression that high stochasticity implies low 16 accuracy of the model, it needs to be stressed that the stochastic behaviour, here induced in 17 particular from the production type structure, is a realistic and important feature of disease 18 spread modelling. 19 20 7. Conclusion 21 Of the factors included in the full model, the production type structure is the factor most 22 influential on the dynamics and hence the most important factor to obtain valid data for and 23 include for modelling. Exclusion of this structure overestimates the final epidemic size but 24 underestimates the stochasticity of outbreaks, both in initial and later stages. However, contact 13 1 heterogeneities due to herd sizes and between herd distances also contribute substantially to 2 the dynamics. Exclusion of the former leads to underestimation of the initial growth of the 3 epidemic but slight overestimation of the final epidemic size. Also, if contact probabilities are 4 modelled as independent of between herd distances, the final epidemic size is somewhat 5 overestimated. Exclusion of production type differences in contact probabilities due to 6 distance however underestimated the epidemic size in the analyzed system. While the 7 presented work only takes into account disease transmission via animal movements it still 8 demonstrates that detailed and updated registers on the animal population in which a model is 9 applied is essential. For a structured farming industry, such as the pig farming considered 10 here, production types are particularly important. This may not be the most important factor in 11 less structured industries, but our result show that this needs to be considered in modelling 12 and risk assessment. 13 14 Acknowledgement 15 We thank the Swedish Board of Agriculture for supplying the data and Swedish Civil 16 Contingencies Agency for funding. 17 18 19 1. 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Notches show 95% confidence interval of the median, the box 11 edges indicate 25th and 75th percentiles, respectively, and whiskers indicate the range of the distribution within 12 2.7 standard deviations. Outliers are indicated by +. 13 18