Table 5

Group ranking of interventions for the surveillance (SURV) and control (CONT) models
SURV model Emergence Epidemic
Rank Score Rank Score
SURV2a – Active surveillance of vectors I. scapularis (flagging or dragging) 1 0.43 1 0.45
SURV2b – Active surveillance of vectors I. scapularis (trapping of small rodents) 2 0.40 2 0.42
SURV1a – Passive surveillance of vectors I. scapularis originating from humans 3 0.07 3 0.10
SURV6 – Sentinel surveillance of suspected Lyme cases in humans 4 0.03 5 −0.01
SURV1b – Passive surveillance of vectors I. scapularis originating from animals 5 0.00 4 0.04
SURV5 – Passive surveillance of human Lyme disease cases 6 −0.08 9 −0.14
SURV2c – Active surveillance of vectors I. scapularis (from hunted deer) 7 −0.13 7 −0.17
SURV3a – Passive surveillance of seropositivity to B. burgdorferi in domestic animals, funding of tests supported by animal owners 8 −0.14 6 −0.12
SURV3c – Passive surveillance of seropositivity to B. burgdorferi in domestic animals, funding of tests supported by the public sector 8 −0.14 6 −0.12
SURV3b – Passive surveillance of seropositivity to B .burgdorferi in domestic animals, funding of tests supported by the private sector (industry) 9 −0.17 9 −0.14
SURV4 – Active surveillance of domestic animal cases of Lyme disease 10 −0.27 8 −0.34
CONT model Rank Score Rank Score
CONT0 – Status quo (basic preventive communication strategy) 1 0.43 1 0.39
CONT11 – Human vaccination1 2 0.31 2 0.31
CONT3a – Small scale landscaping (removal of tick habitats) 3 0.28 3 0.3
CONT10 – Excluding people from high-risk public areas 5 0.25 4 0.29
CONT12 – Making available special Lyme disease diagnostic/treatment clinic(s) 6 0.23 5 0.2
CONT4 – ‘4-poster’ device[47] 8 0.03 6 0.06
CONT7 – Exclusion of deer by fencing 9 −0.04 9 −0.02
CONT1a – Small scale acaricide application to kill free-living ticks 9 −0.04 7 0.01
CONT3b – Large scale Landscaping (removal of tick habitats) 10 −0.07 10 −0.03
CONT1b – Large scale acaricide application to kill free-living ticks 11 −0.08 8 −0.01
CONT2 – Application of desiccants/insecticidal soap 12 −0.14 11 −0.15
CONT5 – Feed-administered ivermectin to deer at bait stations to control ticks 13 −0.15 12 −0.17
CONT8 – ‘Damminix’ device[48] 14 −0.22 13 −0.25
CONT9 – Bait boxes to deliver a passive application of fipronil to rodents[49] 14 −0.22 13 −0.25
CONT6a – Deer hunting 15 −0.25 14 −0.29
CONT6b – Deer culling 16 −0.33 15 −0.31

1 Currently, no licensed vaccine exists for human use. Data used for this analysis come from [50]

Aenishaenslin et al.

Aenishaenslin et al. BMC Public Health 2013 13:897   doi:10.1186/1471-2458-13-897

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