An increase in honey bee mortality has been reported within and outside the European Union. A Belgian honey bee health monitoring was started in 2012 based on a standardized and pan-European voluntary surveillance program (EPILOBEE). The main objective was to estimate honey bee mortality during winter and the apicultural season using a harmonized survey. For the Belgian study, the guidelines were adapted according to small-scale Belgian beekeeping practices and previous pathogen prevalence studies. A two-stage sampling stratified by province resulted in 150 apiaries selected from a sampling frame of approximately 3,000 registered beekeepers. These apiaries were visited twice, questionnaires were completed, collecting information on risk factors and mortality. Samples systematically taken in autumn were screened / quantified for Varroa destructor mites. Weighted colony winter mortality rates were estimated per individual apiary and for geographical entities. We then attempted to identify risk factors in a case-control data interpretation, with observed mortality as a binary dependent variable. Questionnaire variables were evaluated in univariable logistic regression. The final multivariable model was retained: age of beekeeper, wanting to continue beekeeping, increasing number of surrounding landscapes, average colony varroa infestation level, all associated with increased mortality. Chemical acaricide treatment before 1 September and Thymol-containing acaricide were associated with lower mortality. The predictive accuracy of this final model was estimated by the area under the curve (AUC) and was 80.70%. The final predicted mortality risk was visualized on a map as an interpolated layer and compared with the observed mortality; clusters of high/low mortality were identified. This analysis has generated further hypotheses and highlighted where the case-control study could benefit from increased sample size.
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