title: Control of scrapie in the UK sheep population.
abstract: Scrapie is a fatal transmissible spongiform encephalopathy (TSE) of sheep, endemic in the UK for centuries. Interest in the disease has been heightened over the last decade by the possibility of the related BSE being transmissible to and between sheep and a range of control interventions has been proposed and implemented. In this paper, we examined the effect of these policies and their components on observed case rate, susceptible allele frequency and R0 within the framework of a large simulation model of the British sheep population and its breeding and trading structure. We compared interventions with the natural fade-out of scrapie in the population through loss of susceptible genotypes in the absence of control. We compare the results of interventions with the natural course of the scrapie epidemic. Our model suggested that scrapie will persist in the national flock for 300-400 years with the impact on gene frequencies confined largely to high case-rate breeds, such as Shetland and Swaledale. We found the National Scrapie Plan (NSP) to be the most effective in terms of the removal of both susceptible genotypes and scrapie from the population. Complete eradication of scrapie can be achieved within 32 years (95% CI 23-43 years). The Compulsory Scrapie Flock Scheme (CSFS) is as effective as the NSP in reducing the observed case rate but has a limited impact on the frequencies of susceptible genotypes in the population overall. In combination with the NSP, eradication of scrapie is achieved >10 years faster. Of the components of the CSFS, the breeding and culling aspects are each almost as effective as the full policy, with trading restrictions contributing little. We have speculated on the impact of control measures on the possibility BSE infection within the national flock by examining their effect on flock R0 for BSE across different breeds.
authors.affiliation: Department of Infectious Disease Epidemiology, Faculty of Medicine, Imperial College London, London, UK. j.trustcott@imperial.ac.uk
authors.forename: J E
authors.initials: JE
authors.lastname: Truscott
authors.forename: N M
authors.initials: NM
authors.lastname: Ferguson
mesh_terms: D000818:Animals; D001947:Breeding; D002417:Cattle; D003140:Communicable Disease Control / Q000379:methods; D004196:Disease Outbreaks / Q000517:prevention & control / Q000662:veterinary; D016643:Encephalopathy, Bovine Spongiform / Q000453:epidemiology / Q000517:prevention & control; D005062:European Union; D006291:Health Policy; D012608:Scrapie / Q000453:epidemiology* / Q000235:genetics / Q000517:prevention & control*; D012756:Sheep; D013997:Time Factors; D006113:United Kingdom / Q000453:epidemiology