Journal Articles

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    Assessment of accuracy of liver fluke diagnostic tests using the gold standard of total worm counts.
    (Elsevier B.V., 2024-08-24) Dowling A; Lawrence KE; Howe L; Scott I; Pomroy WE
    In many regions of New Zealand liver fluke is endemic, infecting most grazing ruminants, including cattle, sheep, and deer. Restricting the economic losses and welfare costs associated with liver fluke relies on accurately identifying those animals with a production limiting infection. This has proven a difficult goal and although several antemortem quantitative tests are available, including faecal egg counts (FEC), serum ELISA and copro-antigen ELISA, none can be considered a gold standard test of liver fluke infection. The accepted gold standard test for fascioliasis is the total fluke count, which is both laborious and can only be completed at post-mortem. This study aimed to compare the performance of four liver fluke diagnostic tests, against the results of a gold standard total fluke count test. Two groups of cattle were selected, 29 culled mixed age beef cows (MAC) and ten 30-month-old steers. The cattle were blood sampled and faecal sampled prior to slaughter and their whole livers recovered post slaughter at the abattoir. Liveweight was also recorded at slaughter. After collection, each liver was weighed, scored for gross pathology, then serum, faeces and livers were frozen at -20 °C for later analysis. Faecal egg counts and F. hepatica copro-antigen ELISA tests were completed on the faecal samples and total fluke counts were completed on the livers. Fasciola hepatica antibody concentration in serum samples were quantified using a commercial ELISA test. Poisson regression models were built to model the association between each diagnostic test and the total fluke count, and a linear regression model was built to examine the relationship between each diagnostic test and live weight at slaughter. The median fluke count was significantly higher in MAC than steers (p = 0.01), and F. hepatica eggs were present in 100% steers and 66% MAC. There was a significant effect of copro-antigen ELISA value on total fluke count (p < 0.0001), with a coproantigen ELISA value = 20.1 predicting 10 flukes and a value = 44.8 predicting 30 flukes. There was also a significant effect of FEC on total fluke count (p = 0.002) but the R-squared value for this model was lower. There was no association between liver fibrosis score or antibody ELISA test and total fluke count (p = 0.95, p = 0.73, respectively). There was a significant effect of total fluke count (p = 0.03) on liveweight at slaughter, with liveweight falling 20.4 kg for each unit increase in loge (total fluke count). There was no effect of FEC (p = 0.11), antibody ELISA (p = 0.55) or copro-antigen ELISA value (p = 0.16) on liveweight at slaughter. Taken together, these results show that the coproantigen ELISA test is the better test for estimating the true liver fluke burden and that the number of flukes in the liver has a negative effect on cattle live weights at slaughter.
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    The use of a Bayesian latent class model to estimate the test characteristics of three liver fluke diagnostic tests under New Zealand field conditions.
    (2024-09-12) Dowling A; Lawrence KE; Scott I; Howe L; Pomroy WE
    The liver fluke Fasciola hepatica is a trematode parasite of farmed livestock with worldwide distribution, causing chronic production losses and possible death from hepatobiliary damage. The effective management of liver fluke infection requires diagnostic tests which can accurately identify infected animals at both the individual and herd level. However, the accuracy of liver fluke diagnostic tests performed on individual New Zealand cattle is currently unknown. The aim of this study was to use a Bayesian latent class model (LCM) to estimate the test characteristics of three liver fluke diagnostic tests, the coproantigen ELISA, the IDEXX antibody ELISA and the faecal egg count. One hundred and twenty dairy cows each from two dairy farms were blood and faecal sampled in April 2021. The samples were transported to Massey University, Palmerston North, and the three diagnostic tests completed following the respective manufacturer instructions. A Bayesian LCM model, adapted from the original Hui and Walter 2 tests 2 populations model, was built to estimate the test characteristics of the three diagnostic tests in the two dairy herds. The model was implemented in JAGS using Markov chain Monte Carlo sampling. The first 30,000 iterations were discarded as burn-in, and the next 200,000 iterations were used to construct the posterior distributions. Uninformed priors, beta (1,1), were used as the prior distributions for the prevalence estimation and informed beta priors, based on published results, were used as the prior distributions for estimating the sensitivity and specificity of each diagnostic test. Model convergence was confirmed by inspection of trace plots and examination of the results of the Gelman and Rubin test. The results found that the coproantigen ELISA test was the most accurate for diagnosing liver fluke infection in individual animals with a sensitivity = 0.98 (95 % CI 0.95-1.00) and specificity = 0.95 (95 % CI 0.81-1.00) compared to the IDEXX antibody ELISA test, sensitivity = 0.39 (95 % CI 0.32-0.47) and specificity = 0.86 (95 % CI 0.75-0.96) or the FEC, sensitivity = 0.23 (95 % CI 0.17-0.30) and specificity = 0.92 (95 % CI 0.86-0.97). Based on these results clinicians should be encouraged to use the coproantigen ELISA test to diagnose liver fluke infection in individual cattle.
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    A growing degree-day model for determination of Fasciola hepatica infection risk in New Zealand with future predictions using climate change models
    (Elsevier, 28/05/2016) Haydock LAJ; Pomroy WE; Stevenson MA; Lawrence KE
    Infections of ruminants with Fasciola hepatica are considered to be of regional importance within New Zealand but there is very little recent information on its prevalence or severity other than anecdotal reports. Generally they are considered to be of secondary importance compared to gastrointestinal nematode infections. Utilizing data from Virtual Climate Stations (n = 11491) distributed on a 5 km grid around New Zealand a growing degree-day model was used to describe the risk of infection with liver fluke from 1972-2012 and then to apply the predictions to estimate the risk of fluke infections within New Zealand for the years 2040 and 2090. The growing degree-day model was validated against the most recent survey of infection within New Zealand in 1984. A strong positive linear relationship for 1984 between F. hepatica prevalence in lambs and infection risk (p<0.001; R2 =0.71) was found indicating the model was effective for New Zealand. A linear regression for risk values from 14 regions in New Zealand for 1972-2012 did not show any discernible change in risk of infection over this time period (p>0.05). Post-hoc comparisons indicate the risk in Westland was found to be substantially higher (p<0.05) than all other regions with Northland ranked second highest. Notable predicted changes in F. hepatica infection risk in 2040 and 2090 were detected although they did vary between different climate change scenarios. The highest average percentage changes in infection risk were found in regions with low initial risk values such as Canterbury and Otago; in these regions 2090 infection risk is expected to rise by an average of 186% and 184%, respectively. Despite the already high levels of infection risk in Westland, values are expected to rise by a further 76% by 2090. The model does show some areas with little change with Taranaki predicted to experience only very minor increases in infection risk with average 2040 and 2090 predicted changes of 0% and 29%, respectively. Overall, these results suggest the significance of F. hepatica in New Zealand farming systems is probably underestimated and that this risk will generally increase with global warming following climate change.