That these estimates have low precision from an inadequate sample size

That these estimates have low precision from an inadequate sample size and therefore associated risk results should be interpreted cautiously in this preliminary study. Although methods of convenience sampling are often assumed to be representative of a population, sampling biases (most notably selection bias) do occur, making it difficult to develop statistically valid estimates of disease prevalence, regardless of how many birds are sampled. Another constraint was the lack of detail collected in the wild bird-domestic poultry interface such as type of wild bird/waterfowl species identified on the property as well as the means of exposure (i.e. nose to nose, adjacent habitat, droppings only) which may have provided greater insight to the exposure risk and should be included in future studies. Widening the sample collection time frame from May to October could have improved the chances of obtaining a more representative data set in relation to the transmission of AI from wild birds to poultry. This study was also limited to a 4 IBP population of CI 1011 price backyard flock owners that had registered with the MDA. It is believed that AI prevalence estimates reported in this study are lower than the true population as most owners with clinically ill birds would be reluctant to participate. Due to the low response rate and potential biases, this study cannot be generalized to other backyard flock populations. Surveillance is a dynamic process that requires continuous observation, collection, and analysis of data in order to identify thepresence of a disease and contain its spread. While migratory waterfowl have been the main target of disease investigations, domesticated poultry warrant consideration as well. This surveillance study aimed to capture the prevalence and seroprevalence of AI during an outbreak-free period and to illustrate baseline levels of exposure in this growing population. As a result, data from this project has provided a better understanding of AI ecology and transmission relationships within backyard flocks. As demonstrated in this study, education is essential for backyard flock owners especially with non-commercial poultry ownership’s recent increase in popularity. Several flock owners did not practice biosecurity methods, many of which are simple, practical, and affordable. Therefore, it is recommended that proactive biosecurity education highlight prevention measures such as protecting poultry from wild birds and waterfowl particularly during the spring and summer months when migration season is at its peak and implementing a pest control plan. Targeted education and surveillance strategies will help protect the health of U.S. poultry flocks, minimize economic effects of the disease, and greatly reduce the health risks to the U.S. public.AcknowledgmentsWe would like to express our gratitude to all those at the Maryland Department of 15755315 Agriculture who helped make this project possible as well as the Maryland backyard flock owners who participated in the study. Thank you to Dr. Daniel Perez and his lab for providing the avian influenza positive controls and to the Synbiotics lab for generously providing the ELISA kits.Author ContributionsConceived and designed the experiments: JMM NLT NGZ JT. Performed the experiments: JMM NLT. Analyzed the data: JMM NLT. Contributed reagents/materials/analysis tools: JMM NLT. Wrote the paper: JMM.
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) following a high dose conditioning regimen.That these estimates have low precision from an inadequate sample size and therefore associated risk results should be interpreted cautiously in this preliminary study. Although methods of convenience sampling are often assumed to be representative of a population, sampling biases (most notably selection bias) do occur, making it difficult to develop statistically valid estimates of disease prevalence, regardless of how many birds are sampled. Another constraint was the lack of detail collected in the wild bird-domestic poultry interface such as type of wild bird/waterfowl species identified on the property as well as the means of exposure (i.e. nose to nose, adjacent habitat, droppings only) which may have provided greater insight to the exposure risk and should be included in future studies. Widening the sample collection time frame from May to October could have improved the chances of obtaining a more representative data set in relation to the transmission of AI from wild birds to poultry. This study was also limited to a population of backyard flock owners that had registered with the MDA. It is believed that AI prevalence estimates reported in this study are lower than the true population as most owners with clinically ill birds would be reluctant to participate. Due to the low response rate and potential biases, this study cannot be generalized to other backyard flock populations. Surveillance is a dynamic process that requires continuous observation, collection, and analysis of data in order to identify thepresence of a disease and contain its spread. While migratory waterfowl have been the main target of disease investigations, domesticated poultry warrant consideration as well. This surveillance study aimed to capture the prevalence and seroprevalence of AI during an outbreak-free period and to illustrate baseline levels of exposure in this growing population. As a result, data from this project has provided a better understanding of AI ecology and transmission relationships within backyard flocks. As demonstrated in this study, education is essential for backyard flock owners especially with non-commercial poultry ownership’s recent increase in popularity. Several flock owners did not practice biosecurity methods, many of which are simple, practical, and affordable. Therefore, it is recommended that proactive biosecurity education highlight prevention measures such as protecting poultry from wild birds and waterfowl particularly during the spring and summer months when migration season is at its peak and implementing a pest control plan. Targeted education and surveillance strategies will help protect the health of U.S. poultry flocks, minimize economic effects of the disease, and greatly reduce the health risks to the U.S. public.AcknowledgmentsWe would like to express our gratitude to all those at the Maryland Department of 15755315 Agriculture who helped make this project possible as well as the Maryland backyard flock owners who participated in the study. Thank you to Dr. Daniel Perez and his lab for providing the avian influenza positive controls and to the Synbiotics lab for generously providing the ELISA kits.Author ContributionsConceived and designed the experiments: JMM NLT NGZ JT. Performed the experiments: JMM NLT. Analyzed the data: JMM NLT. Contributed reagents/materials/analysis tools: JMM NLT. Wrote the paper: JMM.
Allogeneic hematopoietic stem cell transplantation (allo-HSCT) following a high dose conditioning regimen.