A model of contagious bovine pleuropneumonia transmission dynamics in East Africa

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Abstract

The dynamics of contagious bovine pleuropneumonia (CBPP) transmission vary widely between livestock production systems. This paper describes the development of a homogeneous, stochastic, compartmental model for CBPP transmission in pastoral herds of East Africa. The model was built using parameter estimates based on data published in the literature and on observations of livestock owners obtained through participatory research. The basic reproduction number for CBPP in southern Sudan was estimated to range from 3.2 to 4.6. The homogeneous model indicates that the critical community size for the persistence of CBPP falls within the typical herd sizes for pastoral communities in East Africa suggesting that individual isolated herds are capable of maintaining infection indefinitely. Vaccination alone with currently available vaccines was unlikely to eradicate the disease.

Introduction

Contagious bovine pleuropneumonia (CBPP) caused by Mycoplasma mycoides subspecies mycoides (small colony) is a significant constraint to cattle production throughout most of sub-Saharan Africa. The disease is transmitted by direct contact and is characterized by its variable course and insidious nature. Clinical forms of the disease include the peracute, acute and chronic. Both transient, inapparent infection and the existence of persistently infected animals with encapsulated, infected sequestra are features of CBPP epidemiology. The disease is challenging to reproduce in the laboratory and study in the field. As a result, many aspects of the basic biology, epidemiology and immunology of CBPP are poorly understood (Turner, 1959, Masiga et al., 1996, Schneider et al., 1994).

Historically, CBPP was a disease of Europe, North America and Asia but was eradicated from the United States, Canada and most of Europe in the 19th century prior to the identification of the causative agent through clinical diagnosis, movement control and slaughter of suspected cases (Provost et al., 1987). Contagious bovine pleuropneumonia is believed to have been present in East and West Africa prior to the colonial era. The introduction of CBPP into southern Africa from Europe in 1854 and its subsequent spread as far north as Angola are well documented (Windsor, 2000). These regional differences are borne out by recent molecular epidemiologic studies that have demonstrated three African lineages of CBPP (Lorenzon et al., 2003).

Progress was made in controlling CBPP in Africa during the colonial era and the first two decades following independence. Large parts of Southern, Western and Eastern Africa were cleared using slaughter and movement control (Hammond and Branagan, 1965) which later incorporated testing strategies based on the complement fixation test (CFT) (Campbell and Turner, 1953, Huddart, 1960). As vaccines of moderate efficacy and duration of immunity became available, control programmes increasingly relied upon frequent vaccination and movement control.

In the 1980s and 1990s, economic crises engulfed many nations of Africa and the funding available for public veterinary services declined. Contagious bovine pleuropneumonia surveillance and control programmes were dramatically curtailed (Windsor, 2000). Public empowerment and the recognition of the pervasive negative effects of movement control on pastoral livelihoods decreased the acceptability of this tool as a control option. As a result, CBPP is again present throughout much of Eastern, Central and Western Africa (Masiga and Domenech, 1995). The East African focus has advanced south into Tanzania (Bolske et al., 1995) and subsequently spread throughout most regions of that country. The long-standing focus in Angola and northern Namibia has again invaded Zambia.

With the eradication of rinderpest from large parts of the continent, attention is returning to CBPP control. Socio-economic conditions have changed dramatically over the last 30 years, yet CBPP technology has remained essentially unchanged. Today, both movement control and test and slaughter policies would be costly to implement and poorly tolerated. Transhumant livelihoods systems are now recognized as rational and environmentally friendly foundations for sustainable development of arid lands (Niamir-Fuller, 1999). This leaves vaccination and controversial treatment regimes as the main possibilities for CBPP control in pastoral areas.

This work combined data from the literature and livestock owner knowledge into a homogeneous model that summarizes the state of knowledge on CBPP transmission in transhumant pastoral production systems. Previously published models for CBPP were developed for sedentary animal populations using data derived from longitudinal studies (Lesnoff et al., 2004). The compartmental model described in this paper was developed for East Africa using published studies from Sudan, Kenya, Uganda, Tanzania and elsewhere in the region. Contagious bovine pleuropneumonia is readily recognized by livestock owners and traditional knowledge systems contain a wealth of information on the epidemiology of the disease (McDermott et al., 1987). A unique feature of the study was the use of data derived from the expert knowledge of pastoralists (Catley, 1999, Mariner et al., 2003). The data were collected using participatory techniques that facilitate learning from livestock owners in Sudan and Tanzania. This approach has been termed participatory epidemiology (Mariner and Paskin, 2000). Beyond factual data, participatory epidemiology identifies community priorities and interventions that are appropriate and acceptable to beneficiaries. The model allowed prediction of the impact of control measures and was used to explore control options in light of the realities of pastoral livelihoods.

Section snippets

Stochastic model structure

Our stochastic compartmental model contained six principal states: susceptible, vaccinated, exposed, infectious, persistently infected and recovered (SVEIQR). The structure of the model is shown in Fig. 1. The parameter definitions and principal sources of data for their estimation are presented in Table 1.

Input parameters and the initial conditions for the exposed, infectious and resistant states were incorporated as pert probability distributions rather than discrete values. The only

Results

A histogram of the distribution of R0 values generated by the model in the initial run of 500 iterations and a population size of 10,000 is presented in Fig. 2. Note that 90% of the values lay between 3.4 and 4.7 with a mean of 4.1. The distribution was left skewed. The distribution of average prevalences of infected animals during the final 6 months of the iterations is presented in Fig. 3. Ninety percent of the iterations ended with average prevalences between 4.3 and 7.4%. A sensitivity

Discussion

The literature on CBPP is often contradictory and sometimes contentious on a number of issues. In part, this is related to the insidious nature of CBPP. However, in many cases the discrepancies arise from a lack of rigour in the study design and/or performance. For example, wide ranges are given for incubation period, but many authors do not define the parameter they are attempting to measure. In some cases, herd level exposure in large mobs of cattle is used as the starting point and the time

Acknowledgement

The authors would like to acknowledge the support of the Community-based Animal Health and Participatory Epidemiology (CAPE) Unit, Pan African Programme for the Control of Epizootics (PACE), African Union/Interafrican Bureau for Animal Resources for their support of the fieldwork, initial modelling work and preparation of manuscripts. The CAPE Unit is funded by the Department for International Development (United Kingdom). The authors wish to thank the European Union, the PACE Epidemiology Unit

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