One-size measures do not fit all areas: Evaluation of area-specific control of foot and mouth disease in Thailand using bioeconomic modelling.

Information on the epidemiological and economic consequences of control measures is fundamental to design effective foot and mouth disease (FMD) control measures. One approach to obtaining this information is through bioeconomic modelling. In this study, a bioeconomic model was used to evaluate FMD control in two different study areas in Thailand: a high farm density area predominantly consisting of dairy farms and a low farm density area with mixed farm types. The bioeconomic model consists of an epidemiological part and an economic part. For the epidemiological part, a stochastic between-farm transmission model was constructed with transmission parameters estimated from FMD outbreaks in Thailand. The outputs from the epidemiological model, i.e. the number of infected farms, the number of affected farms and the outbreak duration, are used as inputs for economic model to calculate the economic consequences. We applied the simulation model with four FMD control measures: culling the animals of infected farms, ring vaccination, animal movement restrictions and isolation of infected farms. Furthermore, we included effect of farmers' compliance to asses its effect on control measures. The simulated FMD outbreaks in the low farm density area were small, thus control measures did not greatly affect the size of outbreaks and, therefore, did not have a positive economic return. In contrast, in the high farm density area, FMD outbreaks were large without control measures. All measures reduced the size of the outbreaks but resulted in different total costs. In terms of outbreak control, culling infectious farms was the best option, but its total cost was higher than ring vaccination or isolation of infected farms. In terms of cost-effectiveness, ring vaccination was the best measure. If farmers' compliance were low, all control measures would be ineffective, resulting in high total cost of the outbreak. The cost distribution between compliant and non-compliant farms showed that non-compliant farms paid more than compliant farms, except for the ring vaccination scenario. The results emphasize the economic significance to customize control measures specific to the area's conditions and highlight the importance of farmers' compliance when designing control measures.