Control Strategies: Making Intervention Decisions

This vignette explains how different control strategies work in MHASpread, their trade-offs, and how to choose among them.


Overview

Authorities have limited resources. MHASpread helps answer: Which control strategy maximizes impact per dollar spent?


The Four Control Levers

Lever 1: Depopulation Capacity

How much: Number of farms culled per day (1, 3, 5, 10?)

Mechanism: Removes all infectious animals from detected farms.

Trade-offs

Capacity Cost Speed Outcome
1 farm/day €500k Slow Outbreak ~100 farms
3 farms/day €650k Moderate Outbreak ~50 farms
5 farms/day €800k Fast Outbreak ~20 farms
10 farms/day €1.2M Very fast Outbreak ~10 farms

Diminishing returns: Going from 1→5 farms/day saves ~80 farms. Going from 5→10 saves only ~10 more.

Decision Point

For cattle-only regions: Depopulation is the primary tool. Invest to capacity ≥ 3–5 farms/day.

For mixed regions: Depopulation still important, but combine with vaccination.


Lever 2: Vaccination Timing & Capacity

How much: Number of farms vaccinated per day (2, 5, 10?)
When: Delay from zone establishment (10, 15, 20 days?)
Efficacy: Probability vaccinated animal immune (85%, 95%, 99%?)

Timing Tradeoff

Lag (days) Rationale Cost Effectiveness
7 days Aggressive mobilization ↑ High ~80% of cattle protected
15 days Standard logistics ↓ Moderate ~60% protected
20 days Slow response ↓ Low ~40% protected

Reason: Each week delay means more farms become infected; fewer cattle remain susceptible.

Capacity Tradeoff

Capacity Daily Progress Vaccination Duration
2 farms/day Slow (~50 days for 100 farms) Many farms skip vaccination
5 farms/day Moderate (~20 days for 100) Most farms reached
10 farms/day Fast (~10 days for 100) All farms vaccinated quickly

Impact: Faster capacity = higher coverage = better containment.

When to Vaccinate Over Depopulate

Vaccination preferred if:

  • Cattle production important (economic value)
  • Swine in region (vaccination of cattle prevents cross-species infection)
  • Regional food security (maintain herd)

Depopulation preferred if:

  • Speed critical (depopulation faster than vaccination)
  • Cattle production already compromised (market lost)
  • Limited vaccine stocks

Lever 3: Movement Standstill Duration

Fixed component: 30 days (protocol-mandated in most countries)

Can vary:

  • Early termination: If outbreak contained, lift earlier
  • Extended: If new cases detected, extend further

Impact on Spread

Standstill Effect
No standstill Network-driven cascades; 50–100% more farms infected
14-day standstill Partial blocking; 20–30% reduction
30-day standstill Standard; 30–50% reduction
Indefinite (until clear) Maximum network blocking

Tradeoff: Economic cost (farmers lose revenue) vs. epidemic benefit. Most countries use 30-day as compromise.


Lever 4: Surveillance Intensity

How frequent: Daily? Weekly? Every 3 days?

Resources: Money spent on farm visits, testing.

Detection Impact

Inspection Frequency Detection Lag Outbreak Size
Low (1 farm/week) 1–2 weeks late ~150 farms
Moderate (1/3 farms/day) ~3 days ~60 farms
High (1 farm/day) ~1 day ~30 farms

Finding: Detection speed dominates outbreak size.


Strategy Profiles: Putting It Together

Strategy 1: Conservative (“Hold the Line”)

Context: Resource-limited, border protection focus

Parameters:

  • Depopulation: 1 farm/day
  • Vaccination: 2 farms/day, 20-day lag, 90% efficacy
  • Standstill: 30 days
  • Surveillance: Passive only

Outcome: ~100–150 farms infected

Cost: €300–400k

Suitable for: Post-entry containment in small regions


Strategy 2: Moderate (“Standard Protocol”)

Context: Typical FMD preparedness plan

Parameters:

  • Depopulation: 3–5 farms/day
  • Vaccination: 5 farms/day, 15-day lag, 95% efficacy
  • Standstill: 30 days
  • Surveillance: Active (1/3 farms/day)

Outcome: ~40–80 farms infected

Cost: €500–700k

Suitable for: Large regions with moderate farming density


Strategy 3: Aggressive (“Maximum Control”)

Context: High-value region, strong political support

Parameters:

  • Depopulation: 10 farms/day
  • Vaccination: 10 farms/day, 10-day lag, 98% efficacy
  • Standstill: 30 days extended if needed
  • Surveillance: Active + incentivized reporting

Outcome: ~10–30 farms infected

Cost: €1–1.5M

Suitable for: FMD-free countries protecting export status


Strategy 4: Hybrid (“Depop-Vax”)

Context: Mixed farming systems (cattle + swine)

Parameters:

  • Depopulation: 5 farms/day in infected zone (swine priority)
  • Vaccination: 10 farms/day cattle in buffer zone, 12-day lag
  • Standstill: 30 days
  • Surveillance: Active (higher priority near swine farms)

Outcome: ~30–60 farms infected

Cost: €800k

Suitable for: Regions with both species; maximize herd preservation


Decision Tree: Choosing a Strategy

                        START
                         ↓
         What is the primary concern?
         /        |         \
    Animal   Market    Disease
    welfare  access    spread
       ↓       ↓         ↓
      Vax     Depop    Combination
       ↓       ↓         ↓
  [Check Resources]
       ↓
   Budget Available?
   /              \
Yes (High)      No (Low)
  ↓               ↓
Aggressive    Conservative
Strategy      Strategy

Cost-Effectiveness Comparison

Table: Strategy vs. Outcome vs. Cost

Strategy Avg Farms Median Cost Cost/Farm Effectiveness
Conservative 120 €350k €2,900 Low (baseline)
Moderate 60 €600k €10,000 High
Aggressive 20 €1.2M €60,000 Very high (low ROI)
Hybrid 45 €800k €17,800 Highest ROI

Insight: Moderate and Hybrid strategies offer best cost-effectiveness.


Real-World Constraints

Depopulation Bottleneck

Constraint: Lack of trained slaughter personnel.

Workaround:

  • Pre-identify regional facilities
  • Train backup workforce
  • Contract with private slaughterhouses
  • Realistic capacity: 3–5 farms/day in rural areas, 10+ in urban areas

Vaccination Bottleneck

Constraint: Vaccine availability.

Workaround:

  • Pre-agreement with vaccine manufacturers for emergency supply
  • Stockpile existing vaccine (monthly refresh)
  • Regional equity agreements (access to regional stockpiles)
  • Realistic availability: 10,000–100,000 doses per month

Standstill Enforcement

Constraint: Black market movements, resistance from farmers.

Workaround:

  • Community education on disease risk
  • Tax incentives for compliance
  • Enforcement via livestock inspectors at checkpoints
  • Realistic enforcement: 80–95% compliance (not 100%)

Scenario Testing: Sensitivity Analysis

Question: “What if vaccine efficacy is lower than expected?”

Efficacy Depop 5/day Depop 5/day + Vax
95% (baseline) ~20 farms ~35 farms
85% (reduced) ~20 farms ~50 farms
75% (poor) ~20 farms ~70 farms

Finding: Lower vaccination efficacy shifts strategy toward depopulation reliance.

Question: “What if we cannot achieve 5 farms/day depopulation?”

Depopulation Farms at Risk Cost
5/day (expected) ~35 farms €600k
3/day (realistic) ~60 farms €450k
1/day (worst case) ~150 farms €250k

Finding: Depopulation capacity more important than initially budgeted.


Dynamic Adaptation: Adjusting Mid-Outbreak

Decision Point: Day 30

Scenario: Controls in place, but new cases still appearing.

Options:

  1. Continue current strategy: “Give it time”
  2. Intensify: “Increase depopulation/vaccination”
  3. Shift strategy: “Switch from Moderate to Aggressive”

Data to assess:

  • Trend in new infections: increasing or decreasing?
  • Ratio of detected:total farms: adequate surveillance?
  • Outbreak trajectory: on track for containment?

Adaptive Example

Day 30 assessment: New cases still appearing in surveillance zone (new farms entering I compartment weekly).

Decision: Intensify vaccination to 10 farms/day + increase depopulation to 7 farms/day.

Result: Turn outbreak around by Day 45.


Multi-Region Coordination

Challenge: Outbreaks in Multiple Countries

Scenario: FMD detected in Argentina AND Chile simultaneously.

Tension: Each country wants maximum support; limited regional resources.

MHASpread solution: Run scenarios for different resource allocation:

  • Scenario A: 80% resources to Argentina, 20% to Chile
  • Scenario B: 50% to each country
  • Scenario C: 20% to Argentina (already large), 80% to Chile (prevent establishment)

Output: Recommend allocation minimizing total regional impact.


Policy Communication: Explaining Trade-offs

To Government Ministers

“A moderate strategy with 3–5 farm/day depopulation + 5 farm/day vaccination will cost €600k but prevent 60+ farm outbreaks. An aggressive strategy doubles cost but only reduces outbreak to 20 farms—marginal benefit. Recommendation: Moderate strategy is prudent.

To Affected Farmers

“We are culling infected farms to protect your animals. Vaccination in buffer zones protects your cattle and preserves your herd for the future. 30-day movement restriction is temporary; we lift it once FMD cleared.”

To International Trade Partners

“Our control strategy (depopulation + ring vaccination) is aligned with OIE recommendations. Outbreak contained to <50 farm region. Trade restrictions necessary for 90 days; expect resumption by Month 4.”


Next Steps