1. Preferences of decision makers for criteria around selection of foot-and-mouth disease control strategies EuTteum Kim Tim Carpenter, Sarah Rosanowski, Mark Stevenson and Naomi Cogger The EpiCentre

2. Foot-and-mouth disease

3. Relative importance of factors in choosing Foot and Mouth Disease (FMD) control strategies –Survey representative of Chief veterinary officers from 21 countries in Asia and Pacific regions –Determine if there are differences in preferences by FMD status of country FMD positive =12 FMD-free =9 Goal of study

4. Questionnaire –Epidemiological, Economics, and Social-environmental criteria –6 indicators for each criterion Epidemiologic criterion –Duration of outbreak –Size of outbreak area –Number of infected farms(IP) / animals(IA) –Number of depopulated farms(DP) / animals(DA) Questionnaire

5. Economic criterion –Direct operating cost of FMD control measures(eg. vaccination) –Farm loss from the amount of depopulated animals –Farm loss from movement restriction –Industry loss from the amount of depopulated animals –Loss from export ban –Loss from tourism decrease Social-Environmental criterion –Mental health in FMD affected farmers –Mental health in the public –Welfare of the infected / non-infected animals –Air / ground pollution from carcass disposal Questionnaire

6. Questionnaire example

7. Result CriteriaFMD StatusMinimumMedianMaximum p-value EpidemiologicPositive80901000.26 Free 5095100 Overall5090100 EconomicPositive5080950.04 Free4095100 Overall4085100 Social-environmentalPositive2561800.13 Free308098 Overall258098 Table 1. The relative importance scores of criteria for a foot-and-mouth disease (FMD) control strategy

8. Figure 1. The relative importance scores of epidemic indicators in the epidemiologic criterion for a foot-and-mouth disease (FMD) control strategy Epidemic duration Outbreak area size No. of inf. farms No. of inf. animals No. of dep. farms No. of dep. animals

9. Figure 2. The relative importance scores of economic indicators in the epidemiologic criterion for a foot-and-mouth disease (FMD) control strategy Operation cost Farm loss from depopulation Farm loos from mov. restriction Industry loss from depopulation Loss from export ban Loss from tourism decrease

10. Figure 3. The relative importance scores of social indicators in the epidemiologic criterion for a foot-and-mouth disease (FMD) control strategy Farmer mental health Public mental health Welfare of inf. animals Welfare of non- inf.animals Air pollutionGround pollution

11. Criteria/IndicatorsOverallFMD positiveFMD free Epidemiologic criterion FMD outbreak size132 Duration of FMD211 No. of infected farms323 No. of infected animals444 No. of depopulated farms554 Number of depopulated animals666 Economic criterion Cost of control measures112 Farm loss from movement restriction233 Farm loss from depopulation324 Industry loss from movement restriction341 Export loss555 Tourism decrease666 Social-environmental criterion Mental health of affected farmers113 Mental health of the public224 Welfare of infected animals234 Welfare of non-infected animals445 Air pollution462 Ground pollution451 Table 2. The rank of indicators for a foot-and-mouth disease (FMD) control strategy

12. Epidemiological criterion was regarded as the most important Relative importance of economic criterion was differed according to the FMD status FMD status of country is an important factor to understand the background of decision making about control strategy The results of this study could be used in decision analysis of FMD control strategy Conclusion

13. Thank you The EpiCentre