Decision-making for foot-and-mouth disease control : objectives matter

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Abstract

Formal decision-analytic methods can be used to frame disease control problems, the first step of which is to define a clear and specific objective. We demonstrate the imperative of framing clearly-defined management objectives in finding optimal control actions for control of disease outbreaks. We illustrate an analysis that can be applied rapidly at the start of an outbreak when there are multiple stakeholders involved with potentially multiple objectives, and when there are also multiple disease models upon which to compare control actions. The output of our analysis frames subsequent discourse between policy-makers, modellers and other stakeholders, by highlighting areas of discord among different management objectives and also among different models used in the analysis. We illustrate this approach in the context of a hypothetical foot-and-mouth disease (FMD) outbreak in Cumbria, UK using outputs from five rigorously-studied simulation models of FMD spread. We present both relative rankings and relative performance of controls within each model and across a range of objectives. Results illustrate how control actions change across both the base metric used to measure management success and across the statistic used to rank control actions according to said metric. This work represents a first step towards reconciling the extensive modelling work on disease control problems with frameworks for structured decision making.

Item Type: Journal Article
Subjects: S Agriculture > SF Animal culture
Divisions: Faculty of Science, Engineering and Medicine > Science > Life Sciences (2010- )
Library of Congress Subject Headings (LCSH): Epidemics, Foot-and-mouth disease
Journal or Publication Title: Epidemics
Publisher: Elsevier BV
ISSN: 1755-4365
Official Date: June 2016
Dates:
Date
Event
June 2016
Published
10 December 2015
Available
25 November 2015
Accepted
18 June 2015
Submitted
Volume: 15
Page Range: pp. 10-19
DOI: 10.1016/j.epidem.2015.11.002
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons open licence)
Date of first compliant deposit: 19 July 2016
Date of first compliant Open Access: 19 July 2016
Funder: United States. Department of Homeland Security. Science and Technology Directorate, National Science Foundation (U.S.) (NSF), National Institutes of Health (U.S.) (NIH), Bill & Melinda Gates Foundation, Biotechnology and Biological Sciences Research Council (Great Britain) (BBSRC)
Grant number: 1 R01 GM105247-01 (NSF), BB/K010972/3 (BBSRC)
URI: https://wrap.warwick.ac.uk/80412/

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