Accepted Manuscript Title: From network analysis to risk analysis - An approach to risk-based surveillance for bovine tuberculosis in Minnesota, US Author: J. Ribeiro-Lima E.A. Enns B. Thompson M.E. Craft S.J. Wells PII: DOI: Reference:
S0167-5877(14)00418-8 http://dx.doi.org/doi:10.1016/j.prevetmed.2014.12.007 PREVET 3705
To appear in:
PREVET
Received date: Revised date: Accepted date:
11-2-2014 14-11-2014 4-12-2014
Please cite this article as: Ribeiro-Lima, J., Enns, E.A., Thompson, B., Craft, M.E., Wells, S.J.,From network analysis to risk analysis - An approach to risk-based surveillance for bovine tuberculosis in Minnesota, US, Preventive Veterinary Medicine (2014), http://dx.doi.org/10.1016/j.prevetmed.2014.12.007 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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From network analysis to risk analysis - An approach to risk-based surveillance for bovine
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tuberculosis in Minnesota, US.
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Department of Veterinary Population Medicine, University of Minnesota College of Veterinary
Medicine, St Paul MN, United States; 2
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Division of Health Policy and Management, University of Minnesota School of Public Health,
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J. Ribeiro-Lima1, E.A. Enns2, B. Thompson3, M.E. Craft1, S.J. Wells1
Minneapolis MN, United States; 3
Minnesota Board of Animal Health, St. Paul MN, United States
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Corresponding author: Telephone: +351 919207502; email:
[email protected] (J. Ribeiro-Lima)
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Current address: Faculdade de Medicina Veterinária, Universidade Lusófona de Humanidades e
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Tecnologias, Av. do Campo Grande, 376, 1749-024 Lisboa – Portugal.
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Abstract
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Bovine tuberculosis (bTB) was first detected in 2005 in cattle in northwestern Minnesota (MN)
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through slaughter surveillance. By the end of 2008, 12 cattle herds were infected with bTB, and
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the main cause for infection was determined to be the movement of infected animals between
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herds. Bovine tuberculosis was contained in a smaller area in northwestern Minnesota classified
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as modified accredited (MA), corresponding to a prevalence inferior to 0.1% in cattle. From
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January 2008 to 2011, all cattle movements within the bTB MA were recorded electronically.
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The primary objectives of this study was to characterize cattle movements within this region and
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identify cattle herds with higher risk of bTB introduction based on network parameters and
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known risk factors from the published literature. During the period that data was collected,
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57,460 cattle were moved in 3,762 movements corresponding to permits issued to 682 premises,
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mostly representing private farms, sale yards, slaughter facilities and county or state fairs.
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Although sale yards represented less than 2% of the premises (nodes), 60% of the movements
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were to or from a sale yard. The network showed an overall density of 0.4%, a clustering
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coefficient of 14.6% and a betweenness centralization index of 12.7%, reflecting the low
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connectivity of this cattle network. The degree distribution showed that 20% of nodes performed
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90% of the movements. Farms were ranked based on the total risk score and divided into high,
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medium, and low risk groups based on the score and its variability. The higher risk group
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included 14% (n=50) of the farms, corresponding to 80% of the cumulative risk for the farms in
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the bTB area. This analysis provides a baseline description about the contact structure of cattle
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movements in an area previously infected with bTB and develops a framework for a targeted
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surveillance approach for bTB to support future surveillance decisions.
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Keywords: Network analysis, cattle movements, bovine tuberculosis, target surveillance
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1. Introduction
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The State-Federal program for eradication of Bovine tuberculosis (bTB) in cattle
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populations in the US was initially developed in 1917 and has been efficient in reducing disease
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prevalence, nearly to the point of eradication (National Research Council, 1994). The backbone
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of the surveillance system for detecting infected animals is slaughter surveillance, which has an
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estimated median time-to-detection at the herd level of 5.75 years, after bTB is introduced into a
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herd (Fischer et al., 2005), and an estimated very low herd-level sensitivity (USDA-APHIS-VS,
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2009a). Individual animal ante-mortem tests for bTB are available; however, testing is not
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routinely performed. Currently, individual ante-mortem animal testing is only performed prior to 2 Page 2 of 41
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cattle movements from states or zones that are not bTB free or during disease eradication efforts
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in infected areas. The main problems with the current surveillance system include: (i) the long time-to-
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detection (often identifying disease years after its introduction into an initially disease-free
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population); and (ii) the unequal probability of inspection of cattle farms of different types and
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sizes, with large dairy herds being tested more frequently than small beef herds (for example,
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due to the former sending more cattle to slaughter) (USDA-APHIS-VS, 2009b). The delay in
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detection allows bTB to spread to other animals and other herds. Once detected, this results in
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high eradication costs due to the widespread herd tracing and animal depopulation that is
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required. In order to detect bTB cases earlier in disease free areas, and as a consequence
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minimize the spread of disease, factors associated with a greater risk of disease introduction or
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transmission should be incorporated into the surveillance system. In the field of animal health,
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risk is defined in the Animal Health Code (OIE) as “the likelihood of the occurrence and the
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likely magnitude of the biological and economic consequences of an adverse event or effect to
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animal or human health” (OIE, 2012). This is the concept behind risk-based surveillance
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programs, which seek to focus funding and resources toward subsets of the population with a
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higher risk of the health event of interest, improving surveillance system sensitivity and cost-
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effectiveness (Stärk et al., 2006).
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A recent assessment conducted by the United States Department of Agriculture (USDA)
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– Animal and Plant Health Inspection Service (APHIS) identified a variety of risk factors
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associated with bTB infection in US areas without a wildlife reservoir, including the importation
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and comingling of Mexican-origin steers, the management and biosecurity practices used by calf
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raisers for dairy replacement heifers, and the influx of purchased cattle (USDA-APHIS-VS, 3 Page 3 of 41
2009b). The role of cattle movement has also been identified to be of primary importance,
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particularly in low prevalence or disease-free areas, where disease can be introduced through the
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importation of cattle from infected areas (Bessell et al., 2012; Gilbert et al., 2005; Gopal et al.,
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2006). Because cattle movements are directed, since cattle moves from one farm to another and
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not in both directions, these risks (risk of becoming infected and likelihood of transmitting
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infection to other farms) may be different depending on a herd’s management factors. These
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include whether the herd engages primarily in selling or buying cattle, and the origin of the latter.
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Characterizing patterns of cattle movements before a disease outbreak occurs is thus critical to
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identifying which herds have the highest risk of infection and which would be most likely to
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transmit an infection to others. Furthermore, the identification of high risk herds, based on cattle
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movements, do not exclude the role of wildlife for disease spread after it is present, but highlight
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the importance of cattle movements as the primary source for disease introduction in a disease
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free area (Mintiens et al., 2008; Natale et al., 2009).
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Network analysis, a methodology arising from the social sciences with recent
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applications to the spread of human and animal infectious diseases, has proven to be an useful
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tool in understanding the structure of contacts within and between animal populations as well as
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the role of high risk herds in the transmission of infectious diseases in livestock (Bigras-Poulin et
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al., 2006; Dubé et al., 2008; Volkova et al., 2010). In a network analysis framework, a population
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is described in terms of a set of nodes and the edges that describe the interactions between them.
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In the case of describing the spread of bTB between cattle premises (e.g. herds, sale yards, fairs,
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etc), nodes represent cattle premises, where an edge between two herds represents the movement
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of animals from one premise to another and a potential pathway for disease introduction. A
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variety of measures have been developed to characterize network features, including measures of
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connectedness, clustering, and distance, as well as the specific role of individual nodes in the
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network, including measures of importance or centrality (Wasserman and Faust, 1994). Certain
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network measures have been linked with the risk of infection, such as in-degree, the number of
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incoming connections to a node; while others have been associated with both the risk of infection
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and also of transmitting disease to other nodes in the network, such as betweenness centrality
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(Frössling et al., 2012; Keeling and Eames, 2005; Pastor-Satorras and Vespignani, 2001).
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Given the association of livestock movements with outbreaks of bTB (Gilbert et al.,
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2005), the objectives of this study were (1) to characterize cattle movements in the region of a
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past bTB outbreak and (2) to identify herds with a higher risk of becoming infected and/or of
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infecting other herds based on known risk factors related with cattle movements and network
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analysis parameters. The ultimate goal was to develop a risk-based surveillance framework for
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bTB, in order to identify in which herds to focus surveillance resources to minimize disease
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burden and reduce the cost of disease control. We made use of cattle movement data collected
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following a recent bTB outbreak in Minnesota. Bovine tuberculosis was first detected in 2005 in
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cattle in northwestern Minnesota through slaughter surveillance. By 2009, 12 cattle herds were
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found to be infected with bTB. Almost all herds in the outbreak could be linked to an infected
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herd through cattle movements (Shaw, 2008). Bovine tuberculosis was contained in a smaller
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area in northwestern Minnesota classified as modified accredited (MA) (Carstensen and
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Doncarlos, 2011), corresponding to a prevalence inferior to 0.1% in cattle (USDA-APHIS,
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2005). In 2011, the state was declared bTB free. From January 2008 to 2011, cattle movements
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within the MA region were recorded electronically as part of an eradication program.
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The USDA recently issued a document outlining a new approach to bTB surveillance.
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This included the development of targeted approaches, with the objective of responding to the 5 Page 5 of 41
new challenges posed by this disease. Of greater importance are the following: most cases
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detected at slaughter are imported animals (mostly from Mexico), the risk for wildlife reservoirs
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to emerge, and the greater cost of disease control and eradication due to increased herd size and
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long distance cattle movements across the country (USDA-APHIS-VS, 2009c).
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The objectives of this analysis are supported by the hypothesis that the assumption of
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randomness does not hold in infectious disease transmission due to the heterogeneity of the
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populations and their contacts. In our study, the focus is on the heterogeneity of cattle
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movements between herds, where each herd contributes differently to the overall risk of disease
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transmission (Keeling and Eames, 2005; Woolhouse et al., 2005). Furthermore, the longitudinal
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component of the current data set allows the estimation of network parameters across several
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years and evaluation of the influence of the most prominent nodes of the network of cattle
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movements.
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2. Material and Methods
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2.1. Data collection
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Data on cattle movements for the bTB MA zone, from 2008 through 2011, were obtained
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from the Minnesota Board of Animal Health (MNBAH). Due to Minnesota’s split-state status
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over this time period, all cattle movements to and from farms in the MA zone were recorded
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through animal movement certificates and radio frequency identification (RFID) tagging of
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individual animals. The MNBAH has made these data available as a part of the electronic
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Generic Database (software made available to states by USDA-APHIS). The RFID tag data
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reflects all individual animal movements, including within-herd movements (i.e. within the same
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owner but between different locations), between-herd movements, to and from sale yards, to
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slaughter facilities, and to and from county or state fairs. 6 Page 6 of 41
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2.2. Study population The bTB MA zone was located in the interface between four counties in northwestern
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Minnesota: Beltrami, Lake of the Woods, Marshall and Roseau. Cattle operations in this area are
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predominantly beef farms (versus dairy farms) (Table 1).
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2.3. Inclusion criteria
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We included all cattle movements entering, exiting, and within the MA zone that had a
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complete movement record in our analysis. For cattle movements within the MA zone or
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between the MA zone and the rest of Minnesota, we excluded cattle movements for which either
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the origin or destination farm could not be identified from our data. For movements entering or
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exiting the MA zone with origins or destinations outside the state of Minnesota, we did not
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exclude any movement, as long as the state of origin or receipt of the movement was available.
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One farmer may own or manage multiple premises; as cattle might move seasonally to different
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locations depending on availability of feed. Since we were only interested in movements
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between distinct operations, movements to and from premises operated by the same farmer were
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combined into one cattle farm, since it corresponded to the same cattle herd.
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2.4. Analysis and definitions
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From the cattle movement data, we constructed a network reflecting the structure of cattle
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movement between premises. In the network, each cattle operation (private farm, sale yard or
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other) is represented by a node and edges (connections) represent the movement of cattle from
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one node to another. We constructed a directed network to account for the fact that cattle
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movements are not reciprocal; where some cattle operations may serve primarily as suppliers,
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with many out-going connections, while other operations may predominantly import cattle, with
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many in-coming connections. We constructed separate networks for each of the four years in the 7 Page 7 of 41
study period, reflecting the specific cattle movements of any given year. We also constructed an
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aggregate cattle movement network, which reflects the cattle movements over the entire four-
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year period. The network of cattle movements was analyzed as both a valued network, to account
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for the strength of relationship between nodes (i.e. multiple movements between the same nodes
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were considered) and also as dichotomous network (only accounting for one movement between
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the same nodes) (Wasserman and Faust, 1994).
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We analyzed each cattle movement network using UCINET®, a software package for
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network analysis (Borgatti et al., 2002). We characterized each network in terms of standard
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network features, including the network’s overall density, mean degree, and betweenness
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centrality index (for definitions, see Table 3) (Bonacich 1987; Freeman et al. 1991; Wasserman
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and Faust 1994; Martínez-López et al. 2009). We also constructed a degree distribution of the
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overall degree as well as of in-degree and out-degree separately to evaluate proportion of nodes
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involved in the majority of movements and cattle moved (Woolhouse et al., 2005). Spearman
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correlations were calculated to evaluate the association between centrality parameters for
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incoming and outgoing movements.
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We considered “influential” nodes in the network to be those nodes with high degree
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(Dubé et al., 2010; Mansley et al., 2003; Mclaws and Ribble, 2007; Robinson and Christley,
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2007). For each of these important nodes, we constructed ego-centric networks, which represent
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the network of direct links (i.e. only one step in distance), incoming or outgoing, for one node of
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interest. The objective was to identify in detail which nodes were receiving cattle from these
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more central nodes. Network graphs were constructed in order to visualize the main characteristics of the
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network of cattle movements, particularly influential nodes and type of movements (incoming or 8 Page 8 of 41
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outgoing). However, spatial location was not considered in the figures in order to avoid
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identifying individual farm locations within the area involved. After characterizing the network features of cattle movements, we proposed a risk-score
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for private farms designed to reflect the risk of bTB infection based on a farm’s role and position
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in the network. Such a score could be used in developing targeted surveillance strategies to
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improve the efficiency and timeliness of bTB detection in the region. We based the risk-score on
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the number of cattle movements, the number of cattle in each movement and the movement
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characteristics that affect risk, which was informed by published literature (summarized in Table
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4).
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The risk-score was calculated at the movement level, and then summarized at the farm
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level on an annual basis to account for year-specific differences. The final risk-score was the
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Total Risk Score (TRS) over the four-year period. To account for parameter uncertainty,
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regarding the risk associated with origin of movements, we randomly sampled parameter values
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from Pert distributions and calculated the resulting mean risk score and the associated 25th and
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75th percentiles over 10,000 samples (Table 5). The risk score incorporates not only the
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heterogeneity in the number of contacts and the number of cattle in each contact, but also the
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origin of the cattle moved, which is known to affect risk of disease introduction. Therefore, each
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movement counted once, a risk was associated with the origin of each movement, and the
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number of animals in each movement was considered by applying an ordinal weight, where
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larger movements (>100) had a greater weight, when compared to medium (11-100 cattle) and
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small size movements (n≤10). The former (origin) was stochastic, while the latter (size) was
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deterministic. The reason for this decision was based on the uncertainty regarding the level of
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risk associated with movements originated from sale yards and from other states, as no studies
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have been performed in the US to estimate these parameters. The weights applied to each
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movement, accordingly to number of cattle, were based on the data distribution, since there is no
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perfect cutoff and the main purpose of this variable was to magnify or maintain the risk
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associated with the movement. The model was built in Microsoft Excel® using ModelRisk®
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(Vose software, Gent Belgium), an add-in software for risk analysis. The parameter values for
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the Pert distributions for risk associated with import movements (i.e. movements from out-of-
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state) and movements from sale yards were based on published literature (Table 4) and
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confirmed by expert opinion. The Pert distribution is usually used to model expert opinion when
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information regarding the parameters is difficult to infer from published literature, and only
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requires estimates of the minimum, most likely and maximum values for the parameter (Vose,
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2008). In the current study, parameters were first inferred from the published literature and
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expert opinion from the University of Minnesota and the Minnesota Board of Animal Health was
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used to confirm the parameters chosen. Farms were ranked based on the TRS and divided into
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high, medium, and low risk groups based on a combination of the TRS, the interquartile range
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and the cumulative risk. Farms in the high risk group had the highest score, the larger
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interquartile range indicating a greater level of uncertainty, and comprised 80% of the
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cumulative risk; the medium risk group was responsible for the remaining cumulative risk (i.e.
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20%) with a smaller inter-quartile range; and the low risk group corresponded to the farms with
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no incoming movements. Pearson correlations were calculated between the risk scores for each
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year and confidence intervals were calculated by bootstrapping the standard the error. The model
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was built in Microsoft Excel® using ModelRisk® (Vose software, Gent Belgium), add-in software
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for risk analysis.
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each farm in each year, and the TRS.
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3. Results
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3.1. Descriptive analysis with trends by year and month
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The equations in Table 5 explain the calculation of the risk score for each movement to
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From 2008 through 2011, 3,467 movements (~99% of movements available) satisfied the
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inclusion criteria, representing a total of 46,717 cattle moved, and 559 premises, including
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private farms, sale yards, slaughter facilities and county or state fairs (Table 2).
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The number of movements of cattle entering, exiting, and within the MA zone peaked in
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January and December each year, although a significant number of cattle movements occurred at
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other times of year (Figure 1). The number of cattle moved was maximal in the same months
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(January and December), but exhibited a stronger seasonal trend, reaching a minimum in the
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summer months (Figure 2).
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3.2. Network analysis of the complete network and by year.
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The networks representing the structure of cattle movements in the bTB MA zone, both
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on an annual basis and over the entire four-year period, were characterized by having far fewer
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edges (i.e. movements) present in the network compared to the total number of possible edges, as
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reflected in a low density and a high fragmentation (Table 6). Furthermore, the nodes connected
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to a given node were unlikely to be connected themselves (low clustering coefficient). Most
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nodes were not along the shortest path between other nodes (low betweeness index) and since the
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network had low density, most of nodes were unable to reach other nodes in the network (low
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closeness index). These two parameters indicated that the network “power” was concentrated in a
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very small number of nodes. In the network figures (Figures 3a, 3b) is possible to identify the
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presence of two main hubs in the network, which corresponded to two sale yards located in
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northern Minnesota just outside the bTB MA area with a huge number of incoming connections
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(Figure 3a). Aside from these two hubs, it’s also possible to verify that the majority of nodes in
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the network had more outgoing movements than incoming movements (Figure 3b) and most
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movements were within the bTB MA area or within MN. The longitudinal component of the data
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showed very little variation between years for the network parameters (Table 6).
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outgoing movements was extremely high (Table 7).
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3.3. Degree distribution
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The degree distribution showed that 20% of the nodes with highest degree account for
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90% of the movements and 86% of the cattle being moved. Again the two main sale yards were
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the dominant influence on these results (Figure 4).
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When evaluating only the private farms within the bTB area, most farms had low in-
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degree (Figure 5a) and out-degree (Figure 5b). Most farms had more outgoing movements,
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reflecting the management practices of the study area, where cow-calf beef operations prevail
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(Figure 5b), and a large number had no incoming movements.
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3.4. Sale yards
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The network had 12 sale yards and 7 were located within Minnesota. From the sale yards
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in MN, 2 had a central role in the network of cattle movements to and from the bTB area.
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Overall, 61% of the total number of cattle moved and 64% of the total number of movements
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went through these 2 sale yards (Table 8). The ego-networks, incorporating nodes that send and
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receive directly to and from both sale yards, included 45% and 47% of total number of nodes for
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sale yard 1 and 2, respectively (Table 8). Both sale yards had a greater number of incoming cattle
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than outgoing cattle, in part as cattle sold to farms outside of the bTB MA area are not accounted
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for.
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3.5. Risk score for private farms within the bTB area From our cut-off values, the higher risk group included 14% (n=50) of the farms, the
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medium risk group included 46% (n=169) of farms, and the low risk group consisted of farms
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with a null risk score and had 40% (n=149) of the total number of farms. The correlation
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between the risk score for the years with more data, 2009 and 2010 was 0.44 (95% CI [0.236;
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0.670]), and the strongest correlation was between years 2010 and 2011, with 0.62 (95% CI
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[0.496; 0.729]).
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3.5.1. Evaluation of the impact of farms in the high risk group
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Once infected, not all herds at high risk for infection are equally important to disease
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transmission. Figure 7 differentiates among farms with a high probability of infection, based on
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the risk score, and those that may have a higher or lower impact on disease transmission based
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on out-degree or flow betweenness centrality. With out-degree, there was more spread of the
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results, since more farms had out-going movements, which impacted the network locally, i.e. to
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their immediate connections, after excluding movements to slaughter plants. Concerning flow
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betweenness, since it is a parameter that measures connectivity to the whole network, fewer
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farms had the potential for widespread impact in the overall network. Furthermore, the farms
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with the highest risk of infection within the high risk group did not have the higher values for
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out-degree and flow betweenness (Figure 7).
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4. Discussion
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In this analysis, we developed a potential approach to targeted surveillance by
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incorporating network analysis parameter (in-degree) and known risk factors for bTB associated 13 Page 13 of 41
with cattle movements. This analysis was only possible since complete cattle movement data was
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available, which to the authors knowledge constitutes a unique situation in the US. The ability to
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score farms and to identify those at high risk for disease introduction could greatly improve the
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effectiveness of disease surveillance by detecting disease more quickly while reducing cost. This
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is assumed, since disease is more likely to be introduced in the high risk farms, where
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surveillance would be enhanced.
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The method developed here has limitations, particularly the absence of estimates for the
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parameters used in the risk model in disease free scenarios, such as the Minnesota situation.
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However, using current established knowledge on bTB risk factors for disease introduction into a
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disease-free area adds confidence to our assumptions (Gilbert et al., 2005; Gopal et al., 2006;
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Ramírez-Villaescusa et al., 2010; USDA-APHIS-VS, 2009b).
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The current dataset had the advantage of incorporating 4 years of data, allowing for a
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longitudinal analysis of network features and farm risk scores. This is particularly important
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when dealing with a disease with a long latent period such as bTB, where risk behaviors in one
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year can still influence the population four years later. However, the completeness of the data
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was not consistent over the entire observational period, with fewer movements recorded in early
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2008 and late 2011 than during other times. Since cattle movements were self-reported by farm
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owners, adherence may have been low at the beginning of the mandatory reporting period and
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enforcement of this mandatory reporting likely declined once the status of the MA bTB area
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changed to bTB free in 2011. These observations highlight some of the problems of relying on
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self-reported cattle movements, as these may not reflect what in fact occurs in the field. This can
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be improved by education and by clear policy measures that reward those who adhere to the rules
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and penalize violators.
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The application of network analysis to understand the heterogeneous structure of contacts
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in a population has been extremely important in identifying the high risk players, or
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“superspreaders”, that play a key role in the spread of infection (Dubé et al., 2008; Frössling et
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al., 2012; Keeling and Eames, 2005; Woolhouse et al., 2005). For example, we know from
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disease modeling in scale-free networks, where the degree distribution follows a power-law (i.e.
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few nodes have more connections versus a random distribution of connections), that nodes with
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the highest degree are more likely to become infected and, once infected, to rapidly spread
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disease throughout the network (Newman, 2001; Pastor-Satorras and Vespignani, 2001).
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However, the vast majority of these conclusions have been based on analyses of undirected
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networks, where nodes may both infect and be infected by their direct contacts. In contrast, cattle
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movements are inherently and importantly directed, making the distinction between risk of
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infection and risk of transmission essential. Each of these types of risk can only be assessed
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using a directed network approach. We used in-degree as the primary parameter indicator of risk
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for disease introduction, as centrality measures relating to incoming movements were all highly
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correlated. This high correlation between degree and Bonacich Power, for both incoming and
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outgoing movements can be explained by the strong influence of two sale yards, with the
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majority of movements being performed either to or from these facilities. In other words, those
338
nodes that have more movements are also more likely to have movements to or from those
339
highly influential nodes, thus resulting in very little difference between both parameters
340
(Bonacich, 2007). Outgoing movements were more variable, so we assessed the risk of disease
341
transmission through an analysis of both out-degree and more complex parameters such as flow
342
betweenness centrality (Borgatti, 2005; Freeman et al., 1991). Both the in-degree and out-degree
343
are local measures in the network, calculated based on immediate edges to each node. On the
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15 Page 15 of 41
other hand, centrality measures such as flow betweenness centrality, evaluate the role of each
345
node in the overall network. Unlike the more commonly used measure, betweenness centrality,
346
which only considers geodesic paths between nodes, flow betweenness centrality considers all
347
possible paths between two nodes and can account for different strengths of connections (e.g.,
348
differences in the number of cattle moving from one premise to another). Nodes with a higher
349
flow-betweenness have a higher influence in the network’s overall connectivity, which
350
extrapolated for risk of disease transmission could be interpreted as an increased risk of
351
transmission if infected.
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Analyzing the directed movements of cattle between premises has allowed us to observe
353
important differences in import and export behaviors. The distribution of in-degree of premises
354
in the MA bTB region is highly skewed, as expected, approaching the characteristics of a power
355
law distribution, where a few actors incorporate most of the activity of the study population
356
(Keeling and Eames, 2005; Woolhouse et al., 2005). However, we did not see this trend to the
357
same extent in out-degree connections, which is likely related to the types of cattle production
358
system in the MA bTB area. This area has a predominance of beef cow-calf operations, with
359
most herds shipping calves after weaning and few behaving as buyers, and many of the private
360
farms having no incoming movements at all throughout the 4 years.
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One of the primary findings in the movement data for the MA bTB area was the highly
361 362
influential role of two sale yards that acted as hubs in the network and connected many different
363
farms together through cattle movements. Both sale yards had a higher number of incoming
364
movements. This difference, between incoming and outgoing movements, was much greater in
365
the case of sale yard 2, reflecting differences in sale yard operations: sale yard 1 dealt more with
366
young stock, while sale yard 2 managed more cull cattle (i.e. to be sold for slaughter), which 16 Page 16 of 41
were less likely to be sold to other farms in the bTB MA area. Because beef cow-calf herds were
368
the predominant cattle operation type in the bTB MA area, many more farms sent cattle to sale
369
yards than imported from them. This regional feature shows the ability of the sale yards in
370
dispersing cattle with diverse origins, and potentially disease as well, across a broad area.
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Sale yards or animal markets and their role in disease spread have been studied
371
previously in other circumstances and have been found to be extremely important factors in
373
disease transmission (Ferguson et al. 2001; Gibbens et al. 2001). In an analysis of foot-and-
374
mouth disease (FMD) outbreaks, in non-endemic areas, from 1992 to 2003, authors concluded
375
that the primary factor contributing to a large outbreak size was an FMD-infected animal going
376
through a market (Mclaws and Ribble, 2007). A descriptive investigation of the initial spread of
377
the 2001 UK FMD outbreak also highlighted the pivotal role of a sale yard in disease spread
378
(Mansley et al., 2003). Anecdotally, after the 2005 Minnesota bTB outbreak began, official
379
veterinarians identified cattle from over 20 states in sale yard 1 while performing animal-level
380
testing. Furthermore, movements from markets have been identified as a risk factor for bTB
381
infection at a herd level (Johnston et al., 2005; Ramírez-Villaescusa et al., 2010). Although FMD
382
and bTB are very different diseases, the former highly infectious while the latter is a chronic
383
disease with a long latent period, sale yards play an important role in facilitating mixing between
384
cattle from many different areas, increasing the potential for disease transmission.
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The centrality of sale yards in the current network analysis highlights the importance of
385 386
keeping thorough records of animals moving through these holdings. Such records are extremely
387
informative in the event of an outbreak disease investigation. Until an agreement is reached to
388
implement a comprehensive national cattle identification system in the US, with mandatory
389
tracking of cattle movements, tracking movements to and from sale yards constitutes one 17 Page 17 of 41
potential targeted disease surveillance measure that could be very effective when facing a disease
391
emergency. This is particular important when considering the fact that sale yards tend to include
392
movements that cover longer distances, working as bridges between otherwise geographically
393
isolated areas, increasing the risk for a more widespread outbreak (Dubé et al., 2009). Changing
394
the organization of sale yards could also mitigate the risk of disease spread, such as segregating
395
cattle originating from areas with different levels of risk for disease from each other.
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Among private farms, low values of overall flow betweenness, as with low density,
397
confirm the low level of connection of this network of cattle movements and the minimum
398
impact caused by any of the farms, if infected, in the overall network. Very likely, disease would
399
spread slowly and would affect a small number of farms. The network analysis presented here
400
sheds light in understanding what potentially happened in the bTB outbreak in MN, where only
401
12 farms were infected during a 5 year period after disease was introduced. The risk for spread
402
will increase if an additional host emerges in the wildlife population, creating additional routes
403
for disease propagation (Miller and Sweeney, 2013).
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Studies investigating the risk of disease attributable to cattle movements are limited and
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in general rely on data collected in bTB endemic areas. However, risk factors such as cattle
406
movements, and more specifically movements from sale yards or from areas known to be
407
infected, have been shown to be highly influential on bTB positivity at the herd level (Gilbert et
408
al., 2005; Goodchild and Clifton-Hadley, 2001; Johnston et al., 2005; Ramírez-Villaescusa et al.,
409
2010). In support of these conclusions, 90% of the purchased cattle in the index herd of the 2005
410
bTB Minnesota outbreak originated from out-of-state. This is in contrast to the other bTB case
411
herds, in which only 3% of bought cattle originated from outside Minnesota (USDA-APHIS-VS,
412
2009b). 18 Page 18 of 41
The risk score for targeting surveillance for bTB does not exclude the standard slaughter
413
surveillance applied to every animal. The goal is to implement higher levels of surveillance
415
expressed by more field testing or increased submission of tissues from slaughter, for farms
416
identified as high risk. This targeting aims to increase the surveillance system sensitivity.
417
Furthermore, the identification of such farms and the higher level of surveillance implemented,
418
including the identification incoming and outgoing contacts, would allow a faster response when
419
performing contact tracing (Keeling and Eames, 2005). The main objective is to perform targeted
420
surveillance on farms that are more likely to become infected with bTB and consequentially
421
mitigate bTB spread into the overall cattle population and potentially to wildlife populations. The
422
number of farms to test will depend on availability of resources, but instead of based on a
423
random selection process it could be based on a risk score. Targeting education to high risk
424
farms before a disease incursion in order to improve response to an outbreak has also been
425
proposed (Dubé et al., 2009).
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Though we considered individual movements between premises, we ignored the specific
427
timing of these movements. The order in which movements occur over time is important, as any
428
exports occurring from an uninfected herd prior to the importation of an infected animal have no
429
potential for disease transmission. The ordering of movements is particularly important when
430
performing trace back investigations after an outbreak, where the specific chain of infection must
431
be identified (Dubé et al., 2008; Frössling et al., 2012; Nöremark et al., 2011). However, for this
432
analysis, which aimed to identify the high risk farms for disease introduction into a disease-free
433
area, this variable was less critical, since we addressed the first movement of a potential chain of
434
movements to follow.
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This evaluation of the impact of high risk farms in the network of cattle movements
435
shows the potential of using network parameters to quantify risk and target surveillance.
437
However, an analysis based on cattle movements alone does not necessarily capture all
438
transmission pathways for bTB. For example, animals in neighboring farms may come into
439
contact with each other at fence lines, with potential for bTB transmission. While the risk score
440
does not incorporate proximity to high risk farms, in an outbreak situation, farms with fence line
441
contact to high risk farms would be immediately included in a protection surveillance zone (OIE,
442
2012). The presence of bTB-susceptible wildlife, such as white-tail deer, may also facilitate
443
unmeasured contact between farms (Knust et al., 2011). Wildlife may move freely through
444
farmland and come into contact with animals from different herds, facilitating disease spread. As
445
control and eradication are even more difficult in wildlife populations, once infected these
446
populations may become maintenance hosts (Haydon et al., 2002). Thus, when assessing the
447
potential impact of high risk farms in the network, incorporating their potential for interacting
448
with white-tail deer is necessary. Empirical studies of the behavior of deer and other relevant
449
wildlife in the farm landscape are needed in order to properly account for wildlife mediated
450
contact between farms in the network and risk models.
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Network analysis is a widely used tool in veterinary epidemiology, however very few
451 452
papers have used it to inform disease surveillance in a practical way (Frössling et al., 2012;
453
Nöremark et al., 2011). The current model, although limited in its application in a specific area in
454
Minnesota, can serve as a basis to be applied in similar circumstances to other regions. In
455
addition, the model is simple in its application and the data collection is feasible, and could
456
therefore be implemented by animal health agencies. The objectives of animal health
457
surveillance can be greatly improved by using targeted approaches, particularly in areas that are 20 Page 20 of 41
disease-free in order to act more effectively and minimize the high costs associated with
459
investigating and controlling disease outbreaks. For this to be possible it is essential that
460
registration of cattle movements should be made mandatory, and enforced by state and federal
461
agencies.
462
Acknowledgments
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This project was supported by a grant from the University of Minnesota Academic
cr
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Health Center Faculty Research Development Program. We greatly acknowledge the Minnesota
465
Board of Animal Health and its director, Dr. Bill Hartman, for the data sharing and willingness
466
to collaborate.
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Goodchild, A.V.., Clifton-Hadley, R.S., 2001. Cattle to cattle transmission of Mycobacterium bovis. Tuberculosis 81, 23–41.
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Gopal, R., Goodchild, A., Hewinson, G., Domenech, R.D.R., 2006. Introduction of bovine tuberculosis to north-east England by bought-in cattle. Vet. Rec. 165–271.
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580
Figure captions
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Figure 1 – Number1 of cattle movements in the MN bovine tuberculosis Modified Accredited
582
area by month, with each series representing a year.
583
Figure 2 – Number1 of cattle moved in the MN bovine tuberculosis Modified Accredited by
584
month, with each series representing a year.
585
Figure 3 – Network graphs for all the cattle movements between 2008 and 2011 in the MN
586
bovine tuberculosis Modified Accredited area. Shapes represent type of node: ● - private farms,
587
◊ – sale yards, ■ – other and ▲ – slaughter facilities. Colors represent location: white – outside
588
MN (other state or Canada), black – MN outside bTB area and grey – bTB area. Nodes are sized
589
by a) in-degree for a valued network and b) by out-degree for a valued network. Location of
590
nodes in the graph is random and not related with geographic location.
591
Figure 4 – Distribution of the proportion of movements and proportion of cattle moved in
592
relation to the total for the upper 20% of nodes with higher in and out-degree (defined as high
593
risk).
594
Figure 5 – Histograms with the distributions of in-degree (a) and out-degree (b) for the binary
595
network for private farms (n=367) within the bovine tuberculosis Modified Accredited area.
596
Figure 6 – Histogram with total risk score and interquartile range (25th to 75thth percentile) of
597
the Total Risk Score after 10000 iterations for private farms within the bovine tuberculosis
598
Modified Accredited area. Dashed lines indicate thresholds for targeted surveillance based on
599
combination of the cumulative proportion of the Total Risk Score and variability of the
600
interquartile range.
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601
Figure 7 –Scatter plot with 3-dimensions with Total Risk Score (after 10000 iterations) by flow
602
betweenness and out-degree for a valued network for herds in the bovine tuberculosis Modified
603
Accredited area, including only herds in the high risk category from the risk score model.
ip t
Table 1 – Farm characteristics in the MN counties included in the bTB area1. Total cattle/total Beef cattle/ Dairy cattle/ County Average size of farms total farms total farms 2 farm (km ) (n/n) (n/n) (n/n) 1.27 19,706/261 9,975/228 975/15 Beltrami 1.74 4,000/49 1800/46 200/Lake of the Woods3 2.62 11,668/167 5,160/143 1,823/7 Marshall 2.02 17,948/249 8,009/211 1,422/22 Roseau 1.91 53,332/726 24,944/628 4,420/44 Overall 1 604 Data obtained for the 2007 Agriculture Census form the USDA-NASS.
Rank of total cattle2
606 607
2
Position in the ranking of total cattle for counties in MN.
3
Lake of the Woods did not have information, from the 2007 Census, for total farms and also for
M
605
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43 61 49
the rank.
d
608
te
609
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610 611 612 613 614 615 616 617 618
26 Page 26 of 41
619 620
622
cr
Table 2 – Summary of cattle movement data included in the network analysis Years 2009
302
386
594
1,025
8,702
14,140
Number of premises
Number of movements Number of cattle
Overall
2011
375
280
559
1,168
680
3,467
14,181
9,694
46,717
te
d
623
M
with movements
2010
an
2008
us
Items
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621
624
Ac ce p
625 626 627 628 629 630 631 632 633
27 Page 27 of 41
634 635
Table 3 – Network parameters calculated and its description and equation. Description Contacts that occur between pairs of nodes as a fraction of the total number of contacts that could occur
Density (D)1
Formula
us
Parameter
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637
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636
Probability that two nodes connected to another same node are connected between them
Fragmentation (F)3
Proportion of pairs of nodes that are not connected as a fraction of the total number of contacts that could occur
Degree (d)4
total number of contacts (i.e. cattle movements) for each node
te
d
M
an
Clustering coefficient (CC)2
Mean Degree5
Mean degree of the network
Number of times a node is on the shortest path (geodesic path) that connects two other nodes.
Ac ce p
Betweenness centrality (CB)6
Flow betweenness Centrality (CF)7
Betweenness centralization index (NBc)8 Closeness centrality (CC)9
Closeness centralization index (NCc)10
Number of times a node is between all paths that connect two other nodes. Overall level of betweenness centrality for the network
How close a node is connected to all the other nodes in the network Overall level of closeness centrality for the network
28 Page 28 of 41
Bonacich Power (ci)11
644 645 646 647 648 649 650 651 652
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cr
neighbors of node i; ki = degree of node i. 3
rij = 0 if nodes i and j are not connected or rij = 1 if nodes i and j are connected.
4
Degree was also calculated for only incoming movements = in degree (di) and only outgoing
us
643
N = nodes in the network; ejz = number of connections between nodes j and z, which are
an
642
2
movements = out-degree (do); ℓi – total number of movements for node i. 5
d(ni) = the number of movement for each node, g = total number of nodes in the network. Mean
M
641
gxg matrix.
degree was also calculated for both in degree (di) and out degree (do). 6
sjk(ni) = number of shortest paths through node i; sjk = total number of shortest paths.
7
This parameter was normalized, i.e. for each node i the flow that passes through i divided by
d
640
L - the number of contacts in the network; g (g-1) - the total number of possible contacts on a
te
639
1
the total flow that does not include node i. 8
CB(n*) = highest value of betweenness centrality in the network; CB(ni) = value of betweenness
Ac ce p
638
Centrality is defined not only by degree but also by how central are the nodes with which the node is connected.
centrality for each node; g = total number of nodes in the network. 9
Closeness was calculated also for both out-contacts (out closeness) and in contacts (in-
653
closeness); d(ni, nj) – length of shortest path between nodes i and j (if does not exist maximum
654
distance possible is assumed).
655 656
10
CC(n*) – highest value of closeness centrality in the network; Cc(ni) = value of closeness
centrality for each node; g = total number of nodes in the network.
29 Page 29 of 41
657
11
Rij = adjacency matrix ; α = normalizes the parameter ; β = increases centrality if positive or
658
decreases it if negative. Needs to be smaller than the reciprocal of the largest eigenvalue of the
659
adjacency matrix - β < 1/λ.
661 662
Cattle bought from markets
Author Ramírez-Villaescusa et al., 2010
Parameter value/description1 OR=1.95; 95% CI (1.05, 3.63)
Johnston et al., 2005
OR = 3.26, 95% CI (1.71, 6.21)
an
Variable
us
Table 4 – References used to estimate parameters for risk score model.
cr
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660
Johnston et al., 2005
OR = 1.93, 95% CI (1.03, 3.60)
Bought-in cows
Reilly and Courtenay, 2007
OR = 22.5; 95% CI (4.0, 124.9)
Purchased cattle
Goodchild and Clifton-Hadley, 2001
Majority outbreaks were associated with purchased cattle
Marangon et al., 1998
OR = 5.79; (1.80, 18.61)
Cattle bought from infected herds
d
30 out of 31 herd level outbreaks were associated to cattle movements Wide range of source operations was associated with bTB infection
Munroe et al., 1999
OR = 48.8; 95% CI (9.7, 245.2)
Gilbert et al., 2005a
Main predictor for infection
Index herd in MN had 90% of purchased animals from out-of-state 1 All parameters values/descriptions reflect risk for bTB infection at the herd level.
Out of state movements 663
Gopal et al., 2006
Ac ce p
Range of source operations
Gopal et al., 2006
te
In-coming movements
M
Cattle bought from farm sales
664
USDA, 2009
665 666 667 30 Page 30 of 41
668 669 670
ip t
671 672
cr
673
us
674
Ac ce p
te
d
M
an
Table 5 – Summary of risk model variables and parameters at the movement level to characterize herds within the bTB MA area by risk of introduction. Variables Parameters Definition Model Inputs One incoming Incoming movement for each farm 1 In-degree1 movement Increased risk for farms with Not a movement 0 Import movements from out-of state versus from out-of-state Movement farms with no movements from out-of A movement from (IM)2 Pert(5, 10,15) state out-of-state Not a movement Increased risk for farms with 0 movements from sale yards versus from a sale yard Sale Yards farms with no movements from sale (SY)2 A movement from a Pert(3, 5, 7) yards sale yard Number of ≤10 cattle 1 cattle in Increased risk for farms with 11-100 cattle 2 each movements with more cattle movement >100 cattle 3 (W)3 Equation 1) Equation 2) Risk score4 Equation 3)
675 676 677 678 679
1
Total incoming movements for each farm.
2
Risk associated with Import movements (IM) and movements from Sale Yard (SY), were
modeled using PERT distributions. 3
Number of cattle in each movement (W) was applied as a weight to the risk score and was
divided in three categories with respective weights. 31 Page 31 of 41
680
4
Equation 1 refers to the risk score for each incoming movement (RSi) that includes the
following variables: 1 - to account for each movement, which when summed corresponds to the
682
in-degree for each farm; SY - movement from a sale yard; IM - import movement with origin
683
outside of MN and W - weight accounting for number of cattle in the movement (1 = movement
684
with ≤10 cattle, 2 = movement with 11 to 100 cattle and 3 = Movement with > 100 cattle).
685
Equation 2 sums the individual incoming movement risk scores from equation 1 at farm level for
686
each year of the study (RSjk). Equation 3 sums the risk scores from each year in order to obtain
687
the total risk score (TRS) for each farm in the full period of the study.
us
cr
ip t
681
0. 5
Fragmentation (%)
99.3
Cluster coefficient (%)
8.0
Average in-degree (range)
Average out-degree (range)
0. 4
0. 6
0. 4
89.5
85.6
86.4
77.0
8.5
10.4
10.8
14.6
1.427 (0 - 133)
1.672 (0 - 182)
1.709 (0 - 156)
1.543 (0 - 120)
2.257 (0 - 261)
1.427 (0 - 8)
1.672 (0 - 19)
1.709 (0 - 18)
1.543 (0 - 17)
2.257 (0 - 32)
Ac ce p
Density (%)
d
0. 5
te
Parameters
M
an
Table 6 – Summary of network parameters by year of movements and overall after dichotomizing the matrix1. Years Overall 2008 2009 2010 2011
Betweenness network 0.10 6.28 8.90 9.50 12.67 centralization Index (%) Closeness network in-centralization 0.71 1.44 1.32 1.29 0.64 Index (%) 1 688 The parameters were calculated for a binary network, considering only one movement between 689
a pair of nodes even if multiple movements occurred. 32 Page 32 of 41
690 691 692
ip t
693 694
cr
695
us
696 697
an
698
0.91
In-Bonacich Power2
0.91
1
Out-degree
0.05
Out-Bonacich Power2
0.05
0.67
0.58
0.05
0.04
0.70
0.61
0.05
1
0.92
0.62
0.56
0.04
0.04
0.92
1
0.56
0.49
0.67
0.70
0.62
0.56
1
0.80
Ac ce p
Betweenness
0.04
d
1
te
In-degree
M
Table 7 – Spearman rank correlation between centrality measures calculated for the complete network dichotomized1 to compare incoming and outgoing parameters. In-Bonacich Out-Bonacich Flow In-degree Out-degree Betweenness 2 2 Power Power Betweenness
Flow 0.58 0.61 0.56 0.49 0.80 Betweenness 1 699 All the network parameters were calculated based on a binary network, with the exception of 700 701
1
flow betweenness that was calculated for a valued network. 2
Centrality is defined not only by degree but also by how central are the nodes with which the
702
node is connected (i.e. when comparing two nodes with the value 1 for in-degree, a node with
703
low degree connected with a node with high degree will have a higher Bonacich Power
704
compared with a node with high degree connected with a node with low degree). 33 Page 33 of 41
705 706 707
ip t
708 709
cr
710
us
711 712
an
713
M
Table 8 – Summary of number of movements and cattle moved for the two primary sale yards included in the network of cattle movements (valued network1) for the MN bTB Modified Accredited area. Incoming Outgoing Nodes Nodes In-degree Out-degree cattle cattle receiving sending 75
Sale yard 2
1,230
89
Total
2,055
164
2,037
29
248
20,872
342
32
261
28,559
2,379
61
509
Network that accounts for all movements of cattle between the same premise, adding strength to each tie.
716
Ac ce p
714 715
1
7,727
d
825
te
Sale yard 1
34 Page 34 of 41
160 140 120 100
ip t
2008
80
2009 2010
cr
60 40 20
2011
us
Number of Movements
180
an
0
Month
M
716 717
1
718
data-collection starting in 2008 and ending in 2011.
d
Data corresponds to the number of reported movements to the Minnesota Board of Animal Health, with
te
719
Ac ce p
720
35 Page 35 of 41
3000
ip t
2000 2008
1500
2009
1000
cr
Number of cattle
2500
2011
us
500
2010
an
0
Month
M
721 722
1
723
data-collection starting in 2008 and ending in 2011.
d
Data corresponds to the number of reported movements to the Minnesota Board of Animal Health, with
te
724 725
Ac ce p
726 727 728 729
36 Page 36 of 41
ip t cr us
730
a)
b)
an
731 732
M
733 734
d
735
Ac ce p
te
736
37 Page 37 of 41
100%
“High risk” in-degree
90%
86%
“High risk” out-degree
80% 67%
64%
ip t
70% 60%
cr
50% 40% 30%
us
Proprtion of the total (%)
90%
20%
an
10% 0% Number of movements
Number of cattle
M
Category 737
d
738
te
739 740
Ac ce p
741 742 743 744 745 746 747 748 749
38 Page 38 of 41
100
a)
753
2
3 4 5 In-degree
6
7
757
758
M
d
756
te
0 1 2 3 4 5 6 7 8 9 10 11 12 18 Out-degree
9
754 755
ip t
0 1
cr
752
40
us
b)
60
an
751
80
20 0
750
Frequency
Frequency
120
160 140 120 100 80 60 40 20 0
Ac ce p
759 760
39 Page 39 of 41
140
120%
120
100%
HIGH RISK
ip t
LOW RISK 80%
cr
80
60
us
Total Risk Score
100
MEDIUM RISK
Cumulative proportion of the Total Risk Score (%)
Total risk score Cumulative risk score % Interquartile range
an
40
M
20
0 1
21
41
61
81
60%
40%
20%
0%
101 121 141 161 181 201 221 241 261 281 301 321 341 361
Rank of farms from the BTb area
d
761
te
762
Ac ce p
763 764 765 766
40 Page 40 of 41
ip t cr us an
767
Ac ce p
te
d
M
768
41 Page 41 of 41