Epidemiology of Bovine Digital Dermatitis (BDD):

causality, transmission and infection dynamics
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This PhD thesis, entitled Investigating the epidemiology of Bovine Digital Dermatitis: causality, transmission and infection dynamics, presents the outputs and original findings of field research submitted by Willem Daniel Vink to the University of Liverpool, September 2006. It was conducted as part of a Defra-funded project entitled Control of digital dermatitis in cattle: understanding transmission and spread of disease.
The author asserts the intellectual rights to this work. If you wish to utilize, disseminate, cite from or otherwise apply this material, please acknowledge this appropriately, or contact daan42@liv.ac.uk. The thesis can be downloaded as a PDF by clicking on the icon. A synopsis of the individual chapters is available by using the menu at left. A BibTeX citation reference is given here.
Preface
The stated objective of this project, which ran from October 2002 to September 2006, was to investigate the origin and route of transmission of pathogenic, bovine digital dermatitis-associated Treponema spp. bacteria on UK dairy farms.

The project took a multidisciplinary approach, combining epidemiology with microbiology as a means of advancing our understanding of the disease.

A. Epidemiological studies
1. Perform field studies on representative dairy farms in Cheshire, namely a cross-sectional study followed by a longitudinal study.
2. Improve case definition, primarily through investigation of the diagnostic and screening properties of a treponemal serological test (ELISA).
3. Use serology to assess the distribution of antibodies in the farm populations, determine seropositivity rates and estimate the true prevalence of disease.
4. Identify cow-, group- and farm-level risk factors.
5. Formulate and parameterize appropriate statistical and mathematical models of infection dynamics, and use these models to explore putative control strategies.

B. Microbiological studies
1. Further develop and refine techniques for culture and isolation of Treponema spp. from the dairy farm environment.
2. Identify and characterize these and other bacterial species isolated from bovine digital dermatitis lesions.
3. Perform phylogenetic analysis to identify spirochaete genotypes associated with the disease, and determine prevalence of pathogenic genotypes in relation to severity.
4. Identify the source(s) of Treponema spp. in the farm environment, including which cow tissues harbour these bacteria in normal and diseased cows.

The following outputs of the epidemiological studies are available on this website:
1. A contextual literature review, with specific emphasis on the epidemiology of the disease, and a discussion of putative causal mechanisms of BDD.
2. A discussion of the molecular epidemiology, which elucidates the disease determinants associated with bovine digital dermatitis.
3. Detection of disease on the individual animal level through investigation of various diagnostic protocols for case definition, including the development of a Treponema spp. ELISA and formulation of a Bayesian model which allows inferences about the predictive probability of infection to be made on the basis of a serological result.
4. Exploratory data analysis and statistical modelling of a cross-sectional study dataset, which enables investigation of group- and herd-level disease distribution and prevalence, and association of BDD with various risk factors.
5. Investigation of temporal trends in BDD, including transmission dynamics, through exploratory data analysis and statistical modelling of a longitudinal study dataset.
6. Work on development of a mathematical simulation model, which was formulated and parameterised using the outputs of our field studies.
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© Willem Daniel Vink 2006