Prioritization of livestock transboundary diseases in Belgium using a multicriteria decision analysis tool based on drivers of emergence

Transbound Emerg Dis. 2020 Jan;67(1):344-376. doi: 10.1111/tbed.13356. Epub 2019 Oct 9.

Abstract

During the past decade, livestock diseases have (re-)emerged in areas where they had been previously eradicated or never been recorded before. Drivers (i.e. factors of (re-)emergence) have been identified. Livestock diseases spread irrespective of borders, and therefore, reliable methods are required to help decision-makers to identify potential threats and try stopping their (re-)emergence. Ranking methods and multicriteria approaches are cost-effective tools for such purpose and were applied to prioritize a list of selected diseases (N = 29 including 6 zoonoses) based on the opinion of 62 experts in accordance with 50 drivers-related criteria. Diseases appearing in the upper ranking were porcine epidemic diarrhoea, foot-and-mouth disease, low pathogenic avian influenza, African horse sickness and highly pathogenic avian influenza. The tool proposed uses a multicriteria decision analysis approach to prioritize pathogens according to drivers and can be applied to other countries or diseases.

Keywords: Belgium; cluster analysis; drivers; expert elicitation; multicriteria decision analysis (MCDA); prioritization; ranking; sensitivity analysis; transboundary diseases; zoonoses.

MeSH terms

  • Animals
  • Belgium / epidemiology
  • Cost-Benefit Analysis
  • Decision Making*
  • Decision Support Techniques
  • Health Priorities
  • Humans
  • Livestock / microbiology*
  • Surveys and Questionnaires
  • Virus Diseases / epidemiology
  • Virus Diseases / veterinary*
  • Virus Diseases / virology
  • Zoonoses