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Biology subjects

Bessell, P. R.

Publications and source records attributed to Bessell, P. R..

2 recordsLinked to original sources

Modelling sterilisation strategies to maximise population impact and cost-efficiency in free-roaming dog populations

Free-roaming dog populations pose challenges to public health and animal welfare, and their management and protection is legally mandated in many countries to control zoonotic diseases such as rabies, reduce bites, mitigate fear of aggressive dogs, and preserve animal welfare. Although international organisations recommend holistic dog population management with surgical sterilisation as a key component, stakeholders report a lack of evidence-based guidance on effective and cost-efficient strategies. To address this, we developed a deterministic model of a closed free-roaming dog (FRD) population, including dogs dependent on and independent of humans, parameterised using data from southern India. We evaluated a wide range of sterilisation strategies varying duration, interval, frequency, intensity, targeting different population subsets, and fixed or responsive approaches. Strategies were assessed based on their effects on independent FRD population size and implementation costs. Female sterilisation coverage (FSC) strongly determined population reduction and cost-effectiveness. Repeated, short sterilisation periods with appropriately timed intervals and high early intensity best balanced population reduction and cost-efficiency. Excluding dependent dogs (cared for by humans) severely constrained population reduction, while male sterilisation enhanced impact at little extra cost, assuming direct effects on pregnancy rates. Costs and population impacts can be visualised on an interactive web application (https://field.shinyapps.io/DogPopSimApp), allowing practitioners and policymakers to explore sterilisation strategy outcomes. Overall, cost-effective population reduction required sustained commitment and coverage-driven strategies that balance welfare, population reduction and the operational needs of dog-mediated rabies control. Author SummaryFree-roaming street dogs live closely with people. While these animals are often valued members of the community, they can raise public health and safety concerns, including disease transmission, bites, and traffic accidents. To protect both human and animal health, many regions use surgical sterilisation to humanely manage street dog populations. However, running these programmes is complex and expensive, and community managers often lack clear guidance on how to maximise their limited resources. To address this, we used data from southern India to create a mathematical model of a street dog population. We simulated thousands of different sterilisation strategies to see how factors like campaign length, frequency, and targeted sub-groups impacted population size and total costs. We found that short, repeated sterilisation campaigns offer the best balance of population reduction and cost-efficiency. Crucially, these programmes must include dogs that are partially cared for by humans; otherwise, their puppies will continually replenish the street population. Although sterilisation of females drives population reduction, sterilising males alongside females enhanced the overall impact. Ultimately, our study provides practical, evidence-based guidance to help communities design effective and financially sustainable dog management programmes that improve public health and animal welfare.

ecology↗

Optimising passive surveillance of a neglected tropical disease in the era of elimination: A modelling study

BackgroundSurveillance is an essential component of global programs to eliminate infectious diseases and avert epidemics of (re-)emerging diseases. As the numbers of cases decline, costs of treatment and control diminish but those for surveillance remain high even after the last case. Reducing surveillance may risk missing persistent or (re-)emerging foci of disease. Here, we use a simulation-based approach to determine the minimal number of passive surveillance sites required to ensure maximum coverage of a population at-risk (PAR) of an infectious disease. Methodology and Principal FindingsFor this study, we use Gambian human African trypanosomiasis (g-HAT) in north-western Uganda, a neglected tropical disease (NTD) which has been reduced to historically low levels (<1000 cases/year globally), as an example. To quantify travel time to diagnostic facilities, a proxy for surveillance coverage, we produced a high spatial-resolution resistance surface and performed cost-distance analyses. We simulated travel time for the PAR with different numbers (1-170) and locations (170,000 total placement combinations) of diagnostic facilities, quantifying the percentage of the PAR within 1h and 5h travel of the facilities, as per in-country targets. Our simulations indicate that a 70% reduction (51/170) in diagnostic centres still exceeded minimal targets of coverage even for remote populations, with >95% of a total PAR of ~3million individuals living [&le;]1h from a diagnostic centre, and we demonstrate an approach to best place these facilities, informing a minimal impact scale back. ConclusionsOur results highlight that surveillance of g-HAT in north-western Uganda can be scaled back without substantially reducing coverage of the PAR. The methodology described can contribute to cost-effective and equable strategies for the surveillance of NTDs and other infectious diseases approaching elimination or (re-)emergence. Author SummaryDisease surveillance systems are an essential component of public health practice and are often considered the first line in averting epidemics for (re-)emerging diseases. Regular evaluation of surveillance systems ensures that they remain operating at maximum efficiency; systems that survey diseases of low incidence, such as those within elimination settings, should be simplified to reduce the reporting burden. A lack of guidance on how to optimise disease surveillance in an elimination setting may result in added expense, and/or the underreporting of disease. Here, we propose a framework methodology to determine systematically the optimal number and placement of surveillance sites for the surveillance of infectious diseases approaching elimination. By utilising estimates of geographic accessibility, through the construction of a resistance surface and a simulation approach, we identify that the number of operational diagnostic facilities for Gambian human African trypanosomiasis in north-western Uganda can be reduced by 70% with a minimal reduction in existing coverage, and identify the minimum number of facilities required to meet coverage targets. Our analysis can be used to inform the number and positioning of surveillance sites for diseases within an elimination setting. Passive surveillance becomes increasingly important as cases decline and active surveillance becomes less cost-effective; methods to evaluate how best to engage this passive surveillance capacity given facility capacity and geographic distribution are pertinent for several NTDs where diagnosis is complex. Not only is this a complicated research area for diseases approaching elimination, a well-designed surveillance system is essential for the detection of emerging diseases, with this work being topical in a climate where emerging pathogens are becoming more commonplace.

pathology↗