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Part II. Matched case-control study

By Zvonimir Poljak, Catherine E Dewey, Thomas Rosendal, Robert M Friendship, Beth Young and Olaf Berke

Abstract

Background: The emergence of porcine circovirus associated disease (PCVAD) was associated with high mortality in swine populations worldwide. Studies performed in different regions identified spatial, temporal, and spatiotemporal trends as factors contributing to patterns of the disease spread. Patterns consistent with spatial trend and spatio-temporal clustering were already identified in this dataset. On the basis of these results, we have further investigated the nature of local spread in this report. The primary objective of this study was to evaluate risk factors for incidence cases of reported PCVAD. Results: A time-matched case-control study was used as a study design approach, and conditional logistic regression as the analytical method. The main exposure of interest was local spread, which was defined as an unidentified mechanism of PCVAD spread between premises located within 3 kilometers of the Euclidean distance. Various modifications of variables indicative of local spread were also evaluated. The dataset contained 278 swine herds from Ontario originally sampled either from diagnostic laboratory submissions or directly from the target population. A PCVAD case was defined on the basis of the producer’s recall. Existence of apparent local spread over the entire study period was confirmed (OR = 2.26, 95 % CI: 1.06, 4.83), and was further identified to be timevarying in nature- herds experiencing outbreaks in the later part of the epidemic were more likely than contro

Year: 2013
OAI identifier: oai:CiteSeerX.psu:10.1.1.292.2918
Provided by: CiteSeerX
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