Abstract

Hepatitis E virus is a zoonotic pathogen for which pigs are recognized as the major reservoir in industrialised countries. A multiscale model was developed to assess the HEV transmission and persistence pattern in the pig production sector through an integrative approach taking into account within-farm dynamics and animal movements based on actual data. Within-farm dynamics included both demographic and epidemiological processes. Direct contact and environmental transmission routes were considered along with the possible co-infection with immunomodulating viruses (IMVs) known to modify HEV infection dynamics. Movements were limited to 3,017 herds forming the largest community on the swine commercial network in France and data from the national pig movement database were used to build the contact matrix. Between-herd transmission was modelled by coupling within-herd and network dynamics using the SimInf package. Different introduction scenarios were tested as well as a decrease in the prevalence of IMV-infected farms. After introduction of a single infected gilt, the model showed that the transmission pathway as well as the prevalence of HEV-infected pigs at slaughter age were affected by the type of the index farm, the health status of the population and the type of the infected farms. These outcomes could help design HEV control strategies at a territorial scale based on the assessment of the farms’ and network’s risk.

Highlights

  • Hepatitis E virus (HEV) is a non-enveloped single-stranded RNA virus frequently leading to asymptomatic infections in humans, and causing acute or chronic hepatitis—depending, inter alia, on the patient’s immune status [1, 2]

  • Though previous studies have shown the potential role of pig trade in the spread of HEV [25, 26], they did not make it possible to describe HEV diffusion at the territory scale in a dynamic and precise way, or to explain the reasons for HEV spread and persistence in the pig production sector, or to assess the efficacy of HEV control measures in the country

  • This is the reason why the present study reports on the design of a between-herd HEV model that combines HEV within-farm dynamics with pig trade network

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Summary

Introduction

Hepatitis E virus (HEV) is a non-enveloped single-stranded RNA virus frequently leading to asymptomatic infections in humans, and causing acute or chronic hepatitis—depending, inter alia, on the patient’s immune status [1, 2]. If genotypes 1 and 2 are exclusively human viruses mainly present in developing countries, genotypes 3 and 4 are shared by humans and other animal species and are responsible for sporadic human cases in industrialised countries [3, 4]. Spatio-temporal spread of hepatitis E virus in the French pig production network

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