Peste des Petits Ruminants risk factors and space–time clusters in Mymensingh, Bangladesh

Summary Using a hospital‐based case–control study design, our aim was to identify risk factors for—and space–time clusters of—Peste des Petits Ruminants (PPR) in Mymensingh, Bangladesh. Three hundred and eighty PPR cases diagnosed between January 2005 and December 2014 at the Bangladesh Agricultural...

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Veröffentlicht in:Transboundary and emerging diseases 2017-12, Vol.64 (6), p.2042-2048
Hauptverfasser: Rony, M. S., Rahman, A. K. M. A., Alam, M. M., Dhand, N., Ward, M. P.
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container_issue 6
container_start_page 2042
container_title Transboundary and emerging diseases
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creator Rony, M. S.
Rahman, A. K. M. A.
Alam, M. M.
Dhand, N.
Ward, M. P.
description Summary Using a hospital‐based case–control study design, our aim was to identify risk factors for—and space–time clusters of—Peste des Petits Ruminants (PPR) in Mymensingh, Bangladesh. Three hundred and eighty PPR cases diagnosed between January 2005 and December 2014 at the Bangladesh Agricultural University Veterinary Teaching Hospital (BAUVTH) were selected; three controls per case from BAUVTH were then selected (n = 1,048). From records, data extracted included information on date of report, location, age, breed, sex and body weight of goats. A mixed multivariable logistic regression model was built to identify risk factors. Location was included as a random effect and season and demographic variables as fixed effects. The approximate geographic coordinates of locations were collected, and the scan statistic (Bernoulli model) was used to identify space–time clusters of PPR. Compared with goats 6–12 and >12–24 months, respectively. The occurrence of PPR was also significantly higher (odds ratio [OR] 3.2; 95% CI: 1.15–8.59) in the Jamunapari breed than Black Bengals. Significantly higher odds of PPR were observed in winter (OR 1.6; 95% CI: 1.06–2.14) and the monsoon season (OR 1.5; 95% CI: 1.04–2.11) compared with the post‐monsoon season. Two significant (p 
doi_str_mv 10.1111/tbed.12615
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S. ; Rahman, A. K. M. A. ; Alam, M. M. ; Dhand, N. ; Ward, M. P.</creator><creatorcontrib>Rony, M. S. ; Rahman, A. K. M. A. ; Alam, M. M. ; Dhand, N. ; Ward, M. P.</creatorcontrib><description>Summary Using a hospital‐based case–control study design, our aim was to identify risk factors for—and space–time clusters of—Peste des Petits Ruminants (PPR) in Mymensingh, Bangladesh. Three hundred and eighty PPR cases diagnosed between January 2005 and December 2014 at the Bangladesh Agricultural University Veterinary Teaching Hospital (BAUVTH) were selected; three controls per case from BAUVTH were then selected (n = 1,048). From records, data extracted included information on date of report, location, age, breed, sex and body weight of goats. A mixed multivariable logistic regression model was built to identify risk factors. Location was included as a random effect and season and demographic variables as fixed effects. The approximate geographic coordinates of locations were collected, and the scan statistic (Bernoulli model) was used to identify space–time clusters of PPR. Compared with goats &lt;4 months of age, the odds of PPR were 3 (95% confidence interval [CI]: 1.95–4.66), 1.9 (CI: 1.34–2.76) and 1.8 times (95% CI: 1.19–2.58) greater in goats aged 4–6, &gt;6–12 and &gt;12–24 months, respectively. The occurrence of PPR was also significantly higher (odds ratio [OR] 3.2; 95% CI: 1.15–8.59) in the Jamunapari breed than Black Bengals. Significantly higher odds of PPR were observed in winter (OR 1.6; 95% CI: 1.06–2.14) and the monsoon season (OR 1.5; 95% CI: 1.04–2.11) compared with the post‐monsoon season. Two significant (p &lt; .05) space–time clusters were identified between 2 December 2006 and 6 September 2007 (two locations) and 28 November 2006 and 13 February 2007 (five locations). Peste des Petits Ruminants is endemic in Bangladesh, but also occurs as discrete outbreaks. Control efforts—such as vaccination—should focus on high‐risk groups (4–24 months of age, Jamunapari breed), prior to the onset of winter and the monsoon season so as to increase immunity during high‐risk periods, and focus on disease hotspots.</description><identifier>ISSN: 1865-1674</identifier><identifier>EISSN: 1865-1682</identifier><identifier>DOI: 10.1111/tbed.12615</identifier><identifier>PMID: 28109070</identifier><language>eng</language><publisher>Germany: Hindawi Limited</publisher><subject>Age ; Animals ; Bangladesh ; Bangladesh - epidemiology ; Body weight ; Case-Control Studies ; Case–control ; Clusters ; Confidence intervals ; Demographic variables ; Demographics ; Disease hot spots ; Disease Outbreaks - veterinary ; Female ; Goat Diseases - epidemiology ; Goat Diseases - virology ; Goats ; Health risks ; Immunity ; Logistic Models ; Male ; Monsoons ; Outbreaks ; Peste des petits ruminants ; Peste-des-Petits-Ruminants - epidemiology ; Peste-des-Petits-Ruminants - virology ; Peste-des-petits-ruminants virus - immunology ; PPR ; Regression models ; Risk analysis ; Risk Factors ; Risk groups ; Seasons ; Space-Time Clustering ; Spacetime ; space–time clusters ; Statistical analysis ; Vaccination ; Vaccination - veterinary ; Veterinary medicine ; Wind ; Winter</subject><ispartof>Transboundary and emerging diseases, 2017-12, Vol.64 (6), p.2042-2048</ispartof><rights>2017 Blackwell Verlag GmbH</rights><rights>2017 Blackwell Verlag GmbH.</rights><rights>Copyright © 2017 Blackwell Verlag GmbH</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3935-444929bc8941ab8425821cb0e3b5cd2dc70f8f18f43c07a400208c2ba2bce2a3</citedby><cites>FETCH-LOGICAL-c3935-444929bc8941ab8425821cb0e3b5cd2dc70f8f18f43c07a400208c2ba2bce2a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftbed.12615$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftbed.12615$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28109070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rony, M. S.</creatorcontrib><creatorcontrib>Rahman, A. K. M. A.</creatorcontrib><creatorcontrib>Alam, M. M.</creatorcontrib><creatorcontrib>Dhand, N.</creatorcontrib><creatorcontrib>Ward, M. P.</creatorcontrib><title>Peste des Petits Ruminants risk factors and space–time clusters in Mymensingh, Bangladesh</title><title>Transboundary and emerging diseases</title><addtitle>Transbound Emerg Dis</addtitle><description>Summary Using a hospital‐based case–control study design, our aim was to identify risk factors for—and space–time clusters of—Peste des Petits Ruminants (PPR) in Mymensingh, Bangladesh. Three hundred and eighty PPR cases diagnosed between January 2005 and December 2014 at the Bangladesh Agricultural University Veterinary Teaching Hospital (BAUVTH) were selected; three controls per case from BAUVTH were then selected (n = 1,048). From records, data extracted included information on date of report, location, age, breed, sex and body weight of goats. A mixed multivariable logistic regression model was built to identify risk factors. Location was included as a random effect and season and demographic variables as fixed effects. The approximate geographic coordinates of locations were collected, and the scan statistic (Bernoulli model) was used to identify space–time clusters of PPR. Compared with goats &lt;4 months of age, the odds of PPR were 3 (95% confidence interval [CI]: 1.95–4.66), 1.9 (CI: 1.34–2.76) and 1.8 times (95% CI: 1.19–2.58) greater in goats aged 4–6, &gt;6–12 and &gt;12–24 months, respectively. The occurrence of PPR was also significantly higher (odds ratio [OR] 3.2; 95% CI: 1.15–8.59) in the Jamunapari breed than Black Bengals. Significantly higher odds of PPR were observed in winter (OR 1.6; 95% CI: 1.06–2.14) and the monsoon season (OR 1.5; 95% CI: 1.04–2.11) compared with the post‐monsoon season. Two significant (p &lt; .05) space–time clusters were identified between 2 December 2006 and 6 September 2007 (two locations) and 28 November 2006 and 13 February 2007 (five locations). Peste des Petits Ruminants is endemic in Bangladesh, but also occurs as discrete outbreaks. 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S.</au><au>Rahman, A. K. M. A.</au><au>Alam, M. M.</au><au>Dhand, N.</au><au>Ward, M. P.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Peste des Petits Ruminants risk factors and space–time clusters in Mymensingh, Bangladesh</atitle><jtitle>Transboundary and emerging diseases</jtitle><addtitle>Transbound Emerg Dis</addtitle><date>2017-12</date><risdate>2017</risdate><volume>64</volume><issue>6</issue><spage>2042</spage><epage>2048</epage><pages>2042-2048</pages><issn>1865-1674</issn><eissn>1865-1682</eissn><abstract>Summary Using a hospital‐based case–control study design, our aim was to identify risk factors for—and space–time clusters of—Peste des Petits Ruminants (PPR) in Mymensingh, Bangladesh. Three hundred and eighty PPR cases diagnosed between January 2005 and December 2014 at the Bangladesh Agricultural University Veterinary Teaching Hospital (BAUVTH) were selected; three controls per case from BAUVTH were then selected (n = 1,048). From records, data extracted included information on date of report, location, age, breed, sex and body weight of goats. A mixed multivariable logistic regression model was built to identify risk factors. Location was included as a random effect and season and demographic variables as fixed effects. The approximate geographic coordinates of locations were collected, and the scan statistic (Bernoulli model) was used to identify space–time clusters of PPR. Compared with goats &lt;4 months of age, the odds of PPR were 3 (95% confidence interval [CI]: 1.95–4.66), 1.9 (CI: 1.34–2.76) and 1.8 times (95% CI: 1.19–2.58) greater in goats aged 4–6, &gt;6–12 and &gt;12–24 months, respectively. The occurrence of PPR was also significantly higher (odds ratio [OR] 3.2; 95% CI: 1.15–8.59) in the Jamunapari breed than Black Bengals. Significantly higher odds of PPR were observed in winter (OR 1.6; 95% CI: 1.06–2.14) and the monsoon season (OR 1.5; 95% CI: 1.04–2.11) compared with the post‐monsoon season. Two significant (p &lt; .05) space–time clusters were identified between 2 December 2006 and 6 September 2007 (two locations) and 28 November 2006 and 13 February 2007 (five locations). Peste des Petits Ruminants is endemic in Bangladesh, but also occurs as discrete outbreaks. Control efforts—such as vaccination—should focus on high‐risk groups (4–24 months of age, Jamunapari breed), prior to the onset of winter and the monsoon season so as to increase immunity during high‐risk periods, and focus on disease hotspots.</abstract><cop>Germany</cop><pub>Hindawi Limited</pub><pmid>28109070</pmid><doi>10.1111/tbed.12615</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Age
Animals
Bangladesh
Bangladesh - epidemiology
Body weight
Case-Control Studies
Case–control
Clusters
Confidence intervals
Demographic variables
Demographics
Disease hot spots
Disease Outbreaks - veterinary
Female
Goat Diseases - epidemiology
Goat Diseases - virology
Goats
Health risks
Immunity
Logistic Models
Male
Monsoons
Outbreaks
Peste des petits ruminants
Peste-des-Petits-Ruminants - epidemiology
Peste-des-Petits-Ruminants - virology
Peste-des-petits-ruminants virus - immunology
PPR
Regression models
Risk analysis
Risk Factors
Risk groups
Seasons
Space-Time Clustering
Spacetime
space–time clusters
Statistical analysis
Vaccination
Vaccination - veterinary
Veterinary medicine
Wind
Winter
title Peste des Petits Ruminants risk factors and space–time clusters in Mymensingh, Bangladesh
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