Use of monthly collected milk yields for the early detection of vector-borne emerging diseases.

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1 Use of monthly collected milk yields for the early of vector-borne emerging diseases. A. Madouasse A. Lehébel A. Marceau H. Brouwer-Middelesch C. Fourichon August 29, / 14

2 Plan / 14

3 Emergence of 2 vector-borne diseases in ruminants in Northern Europe since / 14

4 Emergence of 2 vector-borne diseases in ruminants in Northern Europe since 2006 BTV in 2006 Abortions Decreased fertility Decreased milk production 3 / 14

5 Emergence of 2 vector-borne diseases in ruminants in Northern Europe since 2006 BTV in 2006 Abortions Decreased fertility Decreased milk production Schmallenberg in 2011 Stillbirths & malformations in newborns Decreased milk production 3 / 14

6 Emergence of 2 vector-borne diseases in ruminants in Northern Europe since 2006 BTV in 2006 Abortions Decreased fertility Decreased milk production Schmallenberg in 2011 Stillbirths & malformations in newborns Decreased milk production Increased risk? Global warming Trade 3 / 14

7 Syndromic surveillance The next emergence What? When? Where? 4 / 14

8 Syndromic surveillance The next emergence What? When? Where? Need non specific methods of Syndromic surveillance 4 / 14

9 Syndromic surveillance The next emergence What? When? Where? Need non specific methods of Syndromic surveillance Milk production High metabolic demand for the dairy cow Non specific Precocious 4 / 14

10 Aim of the study Evaluate milk yield from milk recording as an indicator to be included in an emerging disease surveillance system. 5 / 14

11 Aim of the study Evaluate milk yield from milk recording as an indicator to be included in an emerging disease surveillance system. Milk recording data from French dairy cows 5 / 14

12 Aim of the study Evaluate milk yield from milk recording as an indicator to be included in an emerging disease surveillance system. Milk recording data from French dairy cows Study design 1 Prediction of expected milk productions 2 Calculation of Observed - Expected productions 3 Detection of clusters of low milk production 5 / 14

13 Aim of the study Evaluate milk yield from milk recording as an indicator to be included in an emerging disease surveillance system. Milk recording data from French dairy cows Study design 1 Prediction of expected milk productions 2 Calculation of Observed - Expected productions 3 Detection of clusters of low milk production Period studied 2006: Before BTV-8 emergence 2007: During BTV-8 emergence 5 / 14

14 Milk recording data Milk recording: Yields of all cows from a herd Monthly basis Herd location: municipality level 60% of French dairy herds 6 / 14

15 Milk recording data Milk recording: Yields of all cows from a herd Monthly basis Herd location: municipality level 60% of French dairy herds For this project All the data collected between 2003 and / 14

16 BTV notification data Emergence of BTV-8 in 2006 in Belgium/Germany/the Netherlands expected in France in 2007 Notification of clinical suspicions mandatory Serological tests on suspected animals Active surveillance around the affected area 7 / 14

17 Prediction of expected milk production Prediction of expected herd test-day milk productions From 3 years of historical data 2003 to to / 14

18 Prediction of expected milk production Prediction of expected herd test-day milk productions From 3 years of historical data 2003 to to Linear mixed models Y ij = 8 k=1 I k [ (β k + υ j k ) d τ k τ k+1 τ k + (β k+1 + υ j k+1 )(1 d τ k τ k+1 τ k ) υ j k MVN(0, Σ j ) ε ij (0, σ ij ) ] + ε ij τ 1 τ 2 τ 3 τ 4 τ 5 τ 6 τ 7 τ 8 τ 1 Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Milk yield (kg) Day of year 8 / 14

19 Scan statistic An area with potential disease clusters A normally distributed variable 9 / 14

20 Scan statistic An area with potential disease clusters A normally distributed variable A circle of random location and size is chosen H 0 : The distribution of the variable is the same inside as outside of the circle Likelihood of a measure given H 0? Log likelihood ratio (LLR) 9 / 14

21 Scan statistic An area with potential disease clusters A normally distributed variable A circle of random location and size is chosen H 0 : The distribution of the variable is the same inside as outside of the circle Likelihood of a measure given H 0? Log likelihood ratio (LLR) Hundreds of circles Circles ranked according to LLR 9 / 14

22 Scan statistic An area with potential disease clusters A normally distributed variable A circle of random location and size is chosen H 0 : The distribution of the variable is the same inside as outside of the circle Likelihood of a measure given H 0? Log likelihood ratio (LLR) Hundreds of circles Circles ranked according to LLR Algorithm implemented in SaTScan TM 9 / 14

23 LLR threshold-false alarms Clusters detected before the 1 st March 2007 Number of alarms per week Log likelihood ratio 10 / 14

24 Clusters detected during the emergence 11 / 14

25 Clusters detected during the emergence 11 / 14

26 Clusters detected during the emergence 11 / 14

27 Clusters detected during the emergence 11 / 14

28 Clusters detected during the emergence 11 / 14

29 Clusters detected during the emergence 11 / 14

30 Clusters detected during the emergence 11 / 14

31 Clusters detected during the emergence 11 / 14

32 Clusters detected during the emergence 11 / 14

33 Clusters detected during the emergence 11 / 14

34 Clusters detected during the emergence 11 / 14

35 Clusters detected during the emergence 11 / 14

36 Clusters detected during the emergence 11 / 14

37 Clusters detected during the emergence 11 / 14

38 Clusters detected during the emergence 11 / 14

39 Milk production in the affected area First true alarm with LLR > / 14

40 Milk production in the affected area First true alarm with LLR > / 14

41 Milk production dropped when the disease emerged Deviation from expected 1 kg at the maximum Deviation of the same magnitude between May and July 2006 Very low number of recordings at the beginning of the outbreak Main limitation: difficulty to predict milk production in the absence of disease False positives Is it possible to improve prediction? Prediction at the cow-level: computationally intractable Different model? Incorporate more information: Climate, feed price, / 14

42 Thank you! 14 / 14

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