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Decision making for mitigating wildlife diseases: from
theory to practice for an emerging fungal pathogen of amphibians
Journal: Journal of Applied Ecology
Manuscript ID Draft
Manuscript Type: Research Article
Date Submitted by the Author: n/a
Complete List of Authors: Canessa, Stefano; Universiteit Gent, Department of Pathology, Bacteriology and Avian Disease Bozzuto, Claudio; Wildlife Analysis GmbH Grant, Evan; USGS Patuxent Wildlife Research Center, Cruickshank, Sam; University of Zurich, Department of Environmental Studies and Evolutionary Biology Fisher, Matthew; Imperial College London, Division of Epidemiology, Public Health and Primary Care Koella, Jacob; Université de Neuchâtel, Laboratoire d'écologie et d'épidémiologie parasitaire, Institut de Biologie Lötters, Stefan; Trier University, Biogeography Department Martel, An; Universiteit Gent, Department of Pathology, Bacteriology and Avian Disease Pasmans, Frank; Universiteit Gent, Department of Pathology, Bacteriology and Avian Disease Scheele, Benjamin; Australian National University, Spitzen-van der Sluijs, Annemarieke; Reptielen Amfibieën Vissen Onderzoek Nederland Steinfartz, Sebastian; Technische Universität Braunschweig, Evolutionary Biology Schmidt, Benedikt; University of Zurich, Institut für Evolutionsbiologie und Umweltwissenschaften; karch,
Key-words: Amphibian, basic reproduction number, chytrid, epidemiology, expert elicitation, host-pathogen, integral projection model, salamander, disease spread
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Decision making for mitigating wildlife diseases: from theory to practice for an emerging 1
fungal pathogen of amphibians 2
3
Stefano Canessa1*†, Claudio Bozzuto
2*, Evan H. Campbell Grant
3, Sam S. Cruickshank
4, Matthew 4
C. Fisher5**, Jacob C. Koella
6, Stefan Lötters
7, An Martel
1, Frank Pasmans
1, Ben C. Scheele
8, 5
Annemarieke Spitzen-van der Sluijs9, Sebastian Steinfartz
10, Benedikt R. Schmidt
4,11 6
Author affiliations 7
1 Department of Pathology, Bacteriology and Avian Diseases, Faculty of Veterinary Medicine, 8
Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium 9
2 Wildlife Analysis GmbH, Oetlisbergstrasse 38, 8053 Zurich, Switzerland 10
3 United States Geological Survey, Patuxent Wildlife Research Center, SO Conte Anadromous Fish 11
Laboratory, 1 Migratory Way, Turners Falls, MA 01376 12
4 Department of Evolutionary Biology and Environmental Studies, University of Zurich, 13
Winterthurerstrasse 190, 8057 Zurich, Switzerland 14
5 Department of Infectious Disease Epidemiology, School of Public Health, Imperial College, 15
London, St Mary's Hospital, London W2 1PG, United Kingdom 16
6 Laboratoire d'écologie et d'épidémiologie parasitaire, Institut de Biologie, Université de 17
Neuchâtel, Neuchâtel, Switzerland 18
7 Trier University, Department of Biogeography, Universitätsring 15, 54296 Trier, Germany 19
8 Fenner School of Environment and Society, Australian National University, 2601, Canberra, 20
Australia 21
9 Reptile, Amphibian and Fish Conservation the Netherlands, PO Box 1413, 6501 BK, Nijmegen, 22
the Netherlands 23
10 Zoological Institute, Technische Universität Braunschweig, Mendelssohnstrasse 4, 38106 24
Braunschweig, Germany 25
11 Info fauna karch, Passage Maximilien-de-Meuron 6, 2000 Neuchâtel, Switzerland. 26
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* Equal contributions 27
** Authors 5-12 in alphabetical order 28
† Corresponding author. Email [email protected] 29
Running title. Exploring mitigation of salamander chytrid 30
Word count. Summary: 271; main text: 4407; acknowledgements: 62; references: 1224; tables: 232; 31
figure legends: 398 32
Number of figures/tables: 4/1 33
Number of references: 40 34
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Summary 35
1. Conservation science can be most effective in its decision-support role when seeking answers to 36
clearly formulated questions of direct management relevance. Emerging wildlife diseases, a 37
driver of global biodiversity loss, illustrate the challenges of performing this role: in spite of 38
considerable research, successful mitigation is uncommon. Decision analysis is increasingly 39
advocated to guide mitigation planning, but its application remains rare. 40
2. Using an integral projection model, we explored potential mitigation actions for avoiding 41
population declines and the ongoing spatial spread of the fungus Batrachochytrium 42
salamandrivorans (Bsal). This fungus has recently caused severe amphibian declines in north-43
western Europe and currently threatens Palearctic salamander diversity. 44
3. Available evidence suggests that a Bsal outbreak in a fire salamander (Salamandra salamandra) 45
population will lead to its rapid extirpation. Treatments such as antifungals or probiotics would 46
need to effectively interrupt transmission (reduce probability of infection by nearly 90%) in 47
order to reduce the risk of host extirpation and successfully eradicate the pathogen. 48
4. Improving the survival of infected hosts is most likely to be detrimental as it increases the 49
potential for pathogen transmission and spread. Active removal of a large proportion of the host 50
population has some potential to locally eradicate Bsal and interrupt its spread, depending on 51
the presence of Bsal reservoirs and on the host’s spatial dynamics, which should therefore 52
represent research priorities. 53
5. Synthesis and applications. Mitigation of Bsal epidemics in susceptible host species is highly 54
challenging, requiring effective interruption of transmission and radical removal of host 55
individuals. More generally, our study illustrates the advantages of framing conservation 56
science directly in the management decision context, rather than adapting to it a posteriori. 57
Keywords. Amphibian; basic reproduction number; chytrid; disease spread; epidemiology; expert 58
elicitation; host-pathogen; integral projection model; salamander. 59
60
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Introduction 61
Conservation biology has been called a “crisis discipline” aimed at solving problems about 62
declining species (Soulé 1985). Such problems typically consist of understanding how to manage 63
natural systems, and conservation science seeks to suggest solutions by providing relevant 64
information (Arlettaz et al. 2010). This decision-support role is best performed by trying to find 65
answers to clearly formulated questions directly relevant to ecosystem management ("strong 66
inference"; Chamberlin 1890; Platt 1964; Burnham & Anderson 2001), rather than simply by 67
collecting data and seeking patterns a posteriori (Nichols & Williams 2006). 68
A particularly challenging problem for conservation science is the development of responses to 69
emerging infectious diseases, which are increasingly driving biodiversity loss worldwide (Fisher et 70
al. 2012). Infectious diseases often demand rapid decision-making in the face of scarce knowledge, 71
limited time for learning, and challenges turning the available scientific knowledge into actions 72
(Grant et al. 2017). For example, the amphibian chytrid fungus Batrachochytrium dendrobatidis 73
was identified about twenty years ago (Longcore, Pessier & Nichols 1999); its role in global 74
amphibian declines was clarified over the following decade (Skerratt et al. 2007); potential 75
mitigation strategies were then considered (Woodhams et al. 2011; Scheele et al. 2014), yet to date 76
implementation has been rare and success in maintaining susceptible populations of amphibians in 77
the pathogen’s presence remains elusive (Bosch et al. 2015; Geiger CC et al. 2017). For this reason, 78
a more critical evaluation of potential mitigation strategies for amphibian chytridiomycoses has 79
been recently advocated (Garner et al. 2016; Grant et al. 2017), with the use of specific decision-80
analytic methods to assess research priorities and plan management actions (e.g. Converse et al. 81
2016; Gerber et al. 2017). The lack of applications of decision analysis in the treatment of emerging 82
wildlife diseases such as amphibian chytridiomycoses contrasts with its common application in 83
human healthcare management (e.g. Smith, Hillner & Desch 1993; Claxton & Sculpher 2006; Nutt, 84
King & Phillips 2010). However, this implementation gap may occur because conservation 85
managers, researchers and decision-makers remain unsure about what a decision-analytic approach 86
to emerging wildlife diseases entails and how to implement it in practice, including which research 87
should be pursued to improve population viability. 88
Management decisions arise when, in order to achieve one or more objectives, a choice must be 89
made among two or more alternative actions. Decision analysis is the ensemble of principles and 90
methods to make such choices rationally in the face of uncertainty (Keeney 1982). All revolve 91
around a basic, iterative process: (1) state the decision problem at hand; (2) identify the key 92
management objectives, with associated measures of success; (3) list the potential actions available; 93
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(4) use a model of the system to predict the expected outcome of respective actions, measured 94
against the objectives; (5) recognise uncertainty and solve trade-offs; (6) make and implement a 95
decision. To summarise, decision analysis requires science to perform its “strong inference” role 96
firmly in the management decision context, with explicit statements about objectives, formalisation 97
of current (prior) knowledge and comparable predictions of the outcomes of management actions. 98
In this study, we put in practice this approach as advocated by recent studies (Garner et al. 2016; 99
Grant et al. 2017; Russell et al. 2017), following the decision-analytic process to explore the 100
potential effect of mitigation actions for the recently discovered salamander chytrid fungus 101
Batrachochytrium salamandrivorans (Bsal; Martel et al. 2013). Strong evidence suggests this 102
fungus is native to Asia and causes lethal chytridiomycosis in several species of Palearctic 103
salamanders, threatening to cause loss and disturbance of biodiversity in Europe and North America 104
(Martel et al. 2014). The recent arrival of Bsal in Europe has been implicated in the collapse of 105
several populations of fire salamanders (Salamandra salamandra) in the north-western range of this 106
species (Spitzen-van der Sluijs et al. 2016). A recent model of the dynamics of host populations 107
suggests a potential rapid spread of Bsal across the range of fire salamanders in Middle Europe 108
(Schmidt et al. 2017), requiring urgent management decisions. In the United States, which host 109
amphibian populations at high risk for Bsal (Richgels et al. 2016), pre-arrival actions to restrict the 110
potential importation of infected salamanders are being implemented while proactive management 111
is considered (Grant et al. 2016). Here, we focused on the possible management context at the 112
invasion front and epidemic stage (sensu Langwig et al. 2015; note that for consistency with their 113
classification, we use "epidemic" rather than "epizootic" throughout). We modelled the host-114
pathogen dynamics in a population of a vulnerable salamander species to seek answers to a key 115
management question: how, if at all, can a Bsal epidemic be locally managed? 116
117
Materials and methods 118
Problem definition 119
For our study, we evaluated a range of possible management actions to respond to an infectious 120
disease outbreak. We used the European fire salamander Salamandra salamandra as the target 121
species, since it is a widespread species in Europe at great extinction risk from Bsal (Stegen et al. 122
2017). We considered the management of a single salamander population over a short time frame of 123
three months, chosen on the basis of the rapid Bsal-driven population crashes in fire salamanders 124
(Schmidt et al. 2017; Stegen et al. 2017). We assumed optimal climatic conditions for Bsal growth 125
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and transmission (Stegen et al. 2017). We envisaged management would have two general 126
objectives: minimising the risk of population extinction and minimising the potential for further 127
geographic disease spread. 128
Predicting disease impacts: integral projection model 129
Predictions of the outcomes of mitigation actions are generally based on a simplified representation 130
of the system (a model). Most conservation actions rely on implicitly drawing predictions from 131
previous successes and failures ("experience-based model"; Dicks, Walsh & Sutherland 2014); 132
however, an explicit mathematical description of the system provides a stronger basis to compare 133
and update current knowledge, identify key uncertainties and address trade-offs (Russell et al. 134
2017). We adapted the dynamic population model by Schmidt et al. (2017) into an integral 135
projection model (IPM; Ellner & Rees 2006; all equations in the Supporting Information). An IPM 136
is a generalization of a classic stage-structured population model, where demographic processes are 137
described by one or more continuous covariate(s) rather than discrete stages. This makes IPMs 138
particularly suitable for fungal infections, where rates are influenced both by infection status and 139
infection load, the latter typically measured continuously using quantitative PCR (Wilber et al. 140
2016). As an initial template we used the IPM developed by Wilber et al. (2016) for 141
Batrachochytrium dendrobatidis. We parameterised our model using formal expert elicitation and 142
available data from the literature. Using these sources of information, we then modified model 143
components to reflect on how management could seek to influence key processes to mitigate Bsal 144
impacts. 145
The model considers two disease-related compartments, S(t) and I(z, t), respectively, the number of 146
(uninfected) susceptible, and infected individuals at each time step t (Fig 1). Infected individuals are 147
classified according to their infection load z (eq. S2). The transitions over time and between states 148
are defined by several functions (Fig 1 and eq. S2); below, we provide a brief summary of all 149
functions used in our IPM. Given the short time frame of our management scenario, reflecting the 150
speed of Bsal-driven local population declines in fire salamanders, we focused on a period of the 151
year where recruitment would be negligible, and we also excluded density-dependent mortality 152
effects. We also did not include a “recovered” state or a loss-of-infection function (the probability 153
that an individual transitions from infected to uninfected), since available evidence suggests fire 154
salamanders are unable to clear Bsal infection (Stegen et al. 2017). 155
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Survival (eq. S4). s0 and the function s(z) describe, respectively, the survival of uninfected and 156
infected individuals from time t to t+1. For infected individuals, survival is a function of the 157
infection load z at time t. 158
Transmission (eqs. S3, S5). The function describes the probability that uninfected individuals at 159
time t transition into the infected group at time t+1, and is a function of the load-related distribution 160
of infected individuals in the population at time t and the load-dependent effect of infected 161
individuals on the transmission probability. We assumed a mass-action, density-dependent 162
transmission function for our population. 163
Initial load (eq. S7). G0(z’) describes the probability density of individuals having an infection load 164
z’ upon infection. 165
Load growth (eqs. S8-S10). G(z’, z) describes the probability density of infected individuals having 166
an infection load z’ at time t+1, given load z at time t. 167
Host movement. In addition to the dynamics of a closed population, we calculated – independently 168
from these dynamics – how far Bsal would spread via infected dispersing individuals, given our 169
current knowledge captured in the IPM functions. Starting with an initial load distribution G0(z’), 170
we calculated the life span of a pool of infected individuals given the load growth function and 171
load-dependent survival (i.e. using the IPM kernel). We defined life span as the time taken for the 172
cumulative survival probability to fall below 1%, so that, because of the initial load distribution, 173
infected individuals would travel different distances before dying. Using this formulation, rather 174
than the mean time to death for an infected individual, allows us to better express the uncertainty in 175
the initial load function (see next section). We calculated the distance travelled by dispersing 176
infected individuals based on their life spans and the mean distance travelled per day by fire 177
salamanders in a typical middle European habitat (Tab. S1). 178
To evaluate the ability to meet our objectives of minimising the reduction in the density of 179
susceptible individuals and pathogen spread, we calculated (i) the Bsal basic reproduction number 180
R0 (R0<1 indicates a disease dying out, and R0>1 implies a disease outbreak; see Wilber et al. 181
(2016) for the derivation of R0 as used in our study), (ii) the ratio between the predicted final 182
density of susceptible individuals under each action and the predicted density with neither infection 183
nor mitigation, and (iii) the movement distance of infected individuals. 184
185
186
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Parameterising the model 187
Given the recent emergence of Bsal in Europe, its infection dynamics are not yet entirely 188
understood, although information is rapidly being accrued. Therefore, we used a formal expert 189
elicitation process to estimate the model parameters; this ensured all evidence available was 190
incorporated, while making explicit any additional uncertainty expressed by experts. We carried out 191
the elicitation in a group of ten experts (all listed co-authors except SC, CB and EG, who acted as 192
facilitators) during a four-day workshop, using a best-practice approach (Martin et al. 2012). For 193
each parameter, each expert was initially asked to provide estimates individually (minimum, most 194
likely and maximum values), then allowed to revise those after group discussions based on critically 195
evaluated published and unpublished evidence. For the survival and transmission functions, experts 196
were asked to estimate the respective probabilities at infection loads of 0, 10, 100, 1000 and 10000 197
genomic equivalents (a measure of infection load); for the initial load distribution, estimates of 198
mean, dispersion, and skewness; for the growth function, the maximum observable load and the 199
load growth rate. Figure 1 shows a graphical depiction of the elicited values and fitted functions; 200
further details can be found in the SI, including parameter values in Table S1. The elicitation and 201
discussion also highlighted limited knowledge of the contact rate between host individuals. We 202
therefore chose to derive this parameter from the only published source describing a Bsal outbreak 203
in the wild using individual host mark-recapture (Stegen et al. 2017). To this end, we used a final 204
size relation for a simplified model (see below, Exploring the management-related parameter 205
space). Details of the derivation are provided in the SI. 206
Predicting the outcomes of mitigation actions 207
To understand how management could seek to influence key disease processes, we considered a 208
small set of potential management actions (Table 1), devised during our workshop and from 209
literature (Scheele et al. 2014; Garner et al. 2016; Grant et al. 2017). Fundamentally, actions could 210
be considered different combinations of modifications to pathogen transmission (reducing the 211
probability that an uninfected individual becomes infected upon contact with an infected one), 212
pathogen growth (slowing the growth of Bsal on infected individuals) and host density (reducing 213
density prior to, or right after the arrival of Bsal in the population). Repeating the expert elicitation 214
process, we thought critically about which model parameters each action would seek to modify, and 215
by how much. Since no mitigation of Bsal has been attempted to date, the initial parameterisation 216
described above reflected a “no action” scenario, which we used as a baseline reference after group 217
discussions among experts confirmed that the elicited functions approximated the dynamics 218
observed in the field (Stegen et al. 2017). A further reference level was obtained by modelling the 219
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outcome metrics for an uninfected population. For all scenarios, we expressed uncertainty using 220
probability distributions. Following a best-practice approach, we used beta-PERT distributions for 221
all parameters elicited from experts (Vose 1996). Further, for the initial density derived from Stegen 222
et al. (2017) we used a negative binomial distribution, and for the mean survival probability of 223
infected individuals, also from Stegen et al. (2017), we used a beta distribution. We simulated 1,000 224
datasets by drawing random combinations of parameters from the respective distributions, and then 225
fit the IPM functions using those values to assess model outcomes across the range of parametric 226
uncertainty. 227
Exploring the management-related parameter space 228
The set of actions presented in Table 1 was not a comprehensive evaluation of all potential actions. 229
Rather, it reflected initial creative thinking about mitigation, and may be interpreted as snapshot of 230
a general sensitivity analysis, easier to discuss and link to management than a multi-dimensional but 231
abstract exploration of the parameter space. This approach is particularly useful considering that 232
decision analysis is an iterative process, where different components can be revisited as needed. For 233
example, new actions could be devised using the initial results as an indication of the effects of 234
manipulating different model parameters (N’Guyen et al. 2017). 235
Therefore, after observing the initial results we carried out a further exploration of possible model 236
outcomes, with the aim of identifying the requirements of any new action, or combination thereof, 237
which sought to influence specific model parameters. We used a simplified dynamical model, 238
collapsing the continuous classification of infected individuals as a function of load into a single 239
“Infected” state, to obtain a discrete time Susceptible-Infected model (eq. S11). First, we studied the 240
effects of management by modifying the equation that calculates R0 for this model (eq. S12). Here, 241
on the basis of our initial results, we assumed actions would seek to reduce transmission (β in eq. 242
S12), initial host density (S0 in eq. S12) and/or host survival (s0 and � in eq. S12; see Supporting 243
Information). We multiplied each of these parameters by a term indicating the proportional 244
reduction caused by management (1-m), and we calculated the proportional reductions that would 245
result in R0 = 1. Further, as for the IPM model, we also calculated the density ratio of susceptible 246
hosts between a given reduction and no reduction (i.e., with and without management). For ease of 247
comparison with the initial IPM results, we obtained the density ratios of susceptible hosts by 248
iterating the simplified model (S11). Further details, including a final size relation for the simplified 249
model, can be found in the Supporting Information. 250
251
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Results 252
The results of our IPM simulations reflect the high virulence of Bsal in fire salamander populations, 253
observed in field and laboratory studies to date and confirmed by the expert judgment used to 254
parameterise the model (Fig 1, Table S2). In a “no action” scenario, susceptible hosts would almost 255
inevitably become infected upon contact with infected individuals at high burdens of infection 256
(>100 genomic equivalent) that occur soon after exposure, leading to a rather high Bsal basic 257
reproduction number (median R0 ≈ 9.6). Host survival would decrease to almost certain death at 258
intermediate to high infection loads. Therefore, an unmitigated Bsal-breakout is expected to lead to 259
the effective extirpation of the host population within our three-month time frame (Fig 2). The rapid 260
growth of Bsal and consequential reduced host survival meant that, in the absence of mitigation, an 261
infected dispersing individual would move on average less than 100 m during the study period (Fig 262
3a). However, rare extreme movements may be more relevant for disease spread, where one or a 263
few individuals may reach longer distances. In our case, without mitigation, the mean distance for 264
those rare individuals could be approximately double the mean movement, as illustrated by the 265
uncertainty shown in Fig. 3a. Note that our proportional formulation implies that a larger population 266
will produce a greater absolute number of such long-range dispersers. 267
The potential actions described in Table 1, analysed using the IPM, were mostly unable to prevent 268
population extirpation, even under optimistic parameterisation (Fig 2). An “individual 269
manipulation” that reduced transmission probabilities for low infection loads by 50% did not 270
prevent the collapse of the population or reduce Bsal R0 (Fig. 2); a treatment such as our generalised 271
“probiotic”, that reduced transmission while slowing pathogen growth, actually worsened 272
outcomes, failing to prevent the collapse of the host population while increasing R0 and the 273
distances across which infected hosts moved (Fig 2; Fig 3b,c). A highly effective “antifungal” 274
treatment (treatment “d” in Fig 2) that reduced transmission by 98% was likely to avoid a 275
population collapse within our time frame and eradicate the pathogen (R0<1), although this 276
treatment also increased host movement distances (Fig 2, Fig 3d). However, decreasing coverage 277
(the proportion of individuals treated with the “antifungal”) from 100% to 80% (“e” in Fig 2) was 278
already sufficient to negate these results: although the collapse did not occur during our time frame, 279
it was only delayed beyond our three-month simulation period, since eradication could not be 280
achieved (R0>1), while still increasing host movements (Fig 2, Fig 3e). “Pre-emptive thinning” that 281
manipulated host density by removing 50% of the individuals before Bsal entered the population 282
was not effective under the conditions we simulated; when the proportion removed was increased to 283
90%, the chance of eradicating Bsal was approximately 50% (Fig 2; Fig 3f,g). Rapid and efficient 284
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“post-detection removal” of both susceptible and infected individuals starting immediately after 285
Bsal entry obviously led to almost complete extirpation of the population, but was the only action 286
likely to both eradicate Bsal and minimise host movements, and thus the risk of disease spread to 287
other populations, which was otherwise largely unaffected by other actions. (Fig 2: Fig 3h). We 288
found only one case in which parametric uncertainty resulted in significant uncertainty between 289
success and failure of the same action, i.e., for which the predicted R0 included values lower and 290
greater than 1: as mentioned above, this was pre-emptive removal of 90% of the population, which 291
was equally likely to succeed or fail in eradicating Bsal. The application of the highly effective 292
antifungal with 80% coverage had only a marginal chance of being successful (less than 2.5% of the 293
simulation runs resulted in R0<1; Fig. 2). 294
In addition to the IPM model, we used a simplified model to further assess the efficacy of single 295
and/or combined management actions. The simplified model without management produced R0 ≈ 296
7.9, in good agreement with R0 ≈ 9.6 (5.8 – 14.3 the 95% confidence interval, Fig. 2) from the IPM 297
model. Exploration of this simplified model confirmed that any potential action, or combination of 298
actions, targeting host density, transmission and/or survival would require (very) high effectiveness 299
to achieve R0<1 and prevent a disease outbreak (Fig 4a-c). As suggested by our initial exploratory 300
actions, management strategies targeting single parameters would need to reduce survival by at least 301
75% or initial density or transmission by at least 85%. Acting on several parameters at once would 302
slightly reduce these requirements. For example, R0 = 1 could be achieved by reducing 303
transmission, initial host density and host survival by approximately 42% each (Fig 4c), or by 304
reducing transmission and host survival by 87% each (Fig 4a). Avoiding the collapse of the host 305
population (i.e., obtaining a high density ratio between susceptible individuals with and without 306
intervention) would require a similarly high effectiveness (Fig 4d). As expected, reducing the initial 307
density has approximately a linear effect on the final density; however, this reduction would still 308
need to be paired with a highly effective reduction in transmission to result in a final viable 309
population (Fig 4d). 310
Discussion 311
Our modelling approach revealed that mitigation actions at the Bsal invasion front and during a 312
Bsal epidemic event are highly unlikely to be effective, at least for very susceptible species such as 313
those in the genus Salamandra, particularly S. salamandra (see Sabino-Pinto et al. 2015). 314
Treatments that seek to reduce transmission would require almost complete effectiveness (i.e., 315
perfect interruption of transmission) and very high coverage, with >80% of the population treated 316
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within three days. Moreover, since current evidence suggests fire salamanders do not clear Bsal 317
infection and do not acquire immunity (Stegen et al. 2017), unless the pathogen can be eradicated, 318
even highly effective treatments would likely only slow the decline of host populations. Treatments 319
that only slow the growth of the pathogen, although they may appear intuitively appealing, 320
effectively create a larger pool of active infected individuals and increase the potential for spread of 321
the pathogen to other populations. This inherent risk in treatments that prolong survival but do not 322
interrupt transmission is a recognized concern in the management of virulent pathogens (Read et al. 323
2015). 324
If the persistence of affected populations is unlikely to be achievable after Bsal entry, this objective 325
may become irrelevant and the focus may shift to interrupting the further spread of the pathogen to 326
other populations, by interrupting its transmission and minimising host movements. Our results 327
suggest these objectives might only be achieved with reasonable certainty by applying radical 328
interventions, such as the almost complete removal of infected populations. Moreover, recent 329
evidence suggests that Bsal reservoirs may exist, either in other amphibian species or as free-living 330
encysted spores (Stegen et al. 2017). Once their role in the wild is clarified, such reservoirs can be 331
incorporated into the model (Wilber et al. 2016). From a management perspective, since reservoirs 332
increase the probability of infection, their presence may negate even the only potential benefit of 333
removal-based management (minimising spread by host movement). Removal actions could be 334
revised to include amphibian reservoirs, but this may be less feasible for other taxa or 335
environmental reservoirs. Additional knowledge about the site-specific density and encounter rates 336
of host individuals may help refine predictions and understand the potential for pathogen spread and 337
identify promising management options (e.g. spacing of quarantine fences and radius of capture 338
searches for host removal). 339
Our initial comparison of actions was obviously not exhaustive and more creative thinking is to be 340
encouraged (Grant et al. 2017). However, irrespective of the management strategy, our conclusions 341
are likely to remain broadly applicable; ultimately any action that seeks to address an epidemic 342
would rely on the manipulation of one of the processes described in the model, such as pathogen 343
growth, host survival or rates of transition between infection states. Our exploration of the 344
management-related parameter space using the simplified model suggests that management 345
strategies that target multiple processes are likely to be necessary, and even if they can be devised, 346
all those components would still need to be highly effective to achieve management objectives. 347
Given the limited ability to mitigate epidemics, alternative actions aimed at preventing the entry of 348
the pathogen remain a priority. At the local level, besides mandatory biocontrol precautions, more 349
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radical options could involve restriction of access by humans or isolation of host populations in-350
situ, for example through quarantine fences. Such tactics may however only reduce the risk of Bsal 351
entry, not the ultimate outcome of an epidemic, and their effectiveness may be limited given the 352
multiple possible passive and active vectors of Bsal (Stegen et al. 2017). Ex-situ rescue would 353
likely still face the same challenges highlighted by our model at the time of reintroduction, unless 354
the pathogen could be entirely removed or mechanisms of augmenting resistance were developed 355
(e.g., vaccination; a possibility contrary to current evidence, at least for fire salamanders which do 356
not appear to acquire immunity; Stegen et al. 2017). 357
Recognising the current uncertainty surrounding those processes provides an ideal basis for rational 358
planning of future research and implementation of adaptive management, by focusing on the 359
uncertain parameters that directly influence the choice of management actions (Russell et al. 2017). 360
For example, Wasserberg et al. (2009) describe an adaptive management model for white-tailed 361
deer affected by chronic wasting disease, where they determined a relationship between disease 362
transmission and the effectiveness of culling. In the Bsal case, our results suggest, for example, that 363
understanding whether a candidate antifungal can reduce Bsal transmission by 85% or 95% would 364
be of immediate relevance for deciding whether to use it or not; conversely, understanding whether 365
a probiotic-based treatment reduces transmission by 20% or 50% may reveal important biological 366
processes, but this improved knowledge is still unlikely to make application of such a treatment an 367
optimal management strategy. In terms of more general improvements to our model, better 368
knowledge of the effect of reservoirs, host density and non-amphibian vectors in the transmission 369
function may provide the greatest benefit for decision-making. 370
Perhaps the most urgent need is to clearly define the real, rather than theoretical, decision context 371
for Bsal management. We were able to obtain useful information and to provide an initial 372
assessment of potential actions in a hypothetical management situation. However, we also recognise 373
that natural resource managers (the actual decision makers) face additional objectives and potential 374
constraints, such as the social acceptability of host removal and the allocation of limited funding. 375
These additional complexities will vary with the spatial and temporal scale of possible disease 376
management, and will require the direct involvement of those decision makers. 377
Our study provides a first practical demonstration of the advantages of embedding scientific 378
analysis of emerging diseases in a realistic decision context, as recently advocated for amphibian 379
chytridiomycoses (Garner et al. 2016; Grant et al. 2017; Russell et al. 2017). Essentially, decision 380
analysis required us to approach the problem from a manager’s perspective, stating clear objectives, 381
thinking creatively about actions and making comparable predictions about specific management 382
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actions, thus performing that ideal role of scientific “strong inference”. Setting our model in this 383
context allowed us to clarify potential actions and formalise current knowledge for use in a model 384
that can be easily updated as new information becomes available. This approach thus creates the 385
foundations for a transparent discussion about the potential of any proposed action to mitigate the 386
effects of disease. 387
Acknowledgments 388
We thank the Schweizerischer Nationalfonds for funding the workshop (1Z32Z0_168399 to BRS). 389
SC is supported by the Research Foundation Flanders (FWO16/PDO/019). This is contribution 390
number 584 of the Amphibian Research and Monitoring and Initiative (ARMI) of the US 391
Geological Survey. Any use of trade, product, or firm names is for descriptive purposes only and 392
does not imply endorsement by the U.S. Government. 393
Author contributions 394
SC, CB and BRS conceived the study; SC and CB performed all analyses (respectively, elicitation- 395
and IPM-related); SC and CB wrote the manuscript with input from all authors. 396
Data accessibility 397
All data supporting the results in this paper will be archived in an appropriate public archive, if the 398
paper is accepted for publication. 399
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517
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Table 1. Summary of exploratory actions for Bsal mitigation and their implementation in the 518
integral projection model. The column “Parameters modified” refers to the parameters in the IPM 519
equations (Supporting Information) and how they were modified to simulate the prospective 520
management actions. “Data” indicates the modification was applied directly to the values elicited 521
from experts (e.g., the estimated transmission rates at different infection loads). 522
Action Description Parameters modified
(a) No action Unmitigated course of Bsal outbreak in
a population
–
(b) Improve body
condition
Improve body condition of individuals,
for example by food supplementation at
larval stage, with the aim of increasing
their resistance to infection at low
infection burdens by 50%
0.5 ∙ �� for ≤ 100 GE
(c) Probiotic treatment (a) Pre-emptive treatment of susceptible
individuals increasing their resistance to
infection at low infection burdens by
50%, and (b) slowing Bsal growth once
infected by 80%
(a) 0.5 ∙ �� for ≤ 100 GE
(b) = �√0.2 ∙ ����� ��
(d) Antifungal
treatment, perfect
coverage
(a) Treatment of both susceptible and
infected individuals, increasing the
resistance of susceptible individuals to
infection by 98%, and (b) slowing Bsal
growth once infected by 80%
(a) 1 − 0.98� ∙ ��
(b) = �√0.2 ∙ ����� ��
(e) Antifungal
treatment, incomplete
coverage
(a) Treatment of both susceptible and
infected individuals, increasing the
resistance of susceptible individuals to
infection by 98% (only 80% of
individuals in the population treated at
each time step), and (b) slowing Bsal
growth once infected by 80%.
(a) 1 − 0.80 ∙ 0.98� ∙ ��
(b) = �√0.2 ∙ ����� ��
(f) Pre-emptive
removal – low thinning
Removal of 50% of individuals prior to
entry of Bsal
0.5∙S0
(g) Pre-emptive Removal of 90% of individuals prior to 0.1∙S0
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removal – high
thinning
entry of Bsal
(h) Post-detection
removal
Removal of 90% of all individuals (per
time step) starting immediately after
entry of Bsal, i.e., imposing an
additional mortality probability of 90%.
0.1∙s(z)
523
524
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525
Figure 1. Summary flow-chart for the fire salamander-Bsal integral projection model. The arrows 526
indicate how hosts can transition within and between the susceptible and infected states from time t 527
to time t+1 (three days apart); z and z’ indicate infection loads at t and t+1 respectively. Inserts 528
represent the elicited parameter values; for Survival and Transmission (probability of transmitting 529
infection from an infected to a susceptible host), curves indicate the most likely elicited values, with 530
shaded areas indicating minimum-maximum ranges. For Initial load, the insert represents the 531
elicited probability distribution; for Load Growth, the insert represents the probability density 532
function of Bsal load at time t+1, given the load at time t. 533
534
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535
Figure 2. Comparison of predicted outcomes for potential Bsal mitigation actions in a fire 536
salamander population over a three-month period, obtained from the IPM. The x-axis indicates the 537
basic reproduction number of Bsal (R0), and the y-axis the host population decline, expressed as the 538
ratio between the final number of susceptible individuals for a given action and that simulated for a 539
scenario without infection. Values shown are median (markers) and 95% confidence intervals (CI) 540
for each action (error bars). Note that, given the strong within-action correlation between R0 and 541
final density ratio (not shown), the error bars for the latter are the associated results of the 95% CIs 542
in R0: within a management action, the highest final density ratio is associated to the lower 95% CI 543
bound of R0, et vice versa. 544
545
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546
Figure 3. Distance covered by infected individuals during their life-span, under different mitigation 547
actions, obtained from the IPM. Action labels correspond to those indicated in Fig 2 and Table 1. 548
The y-axis indicates the proportion of individuals that moved at least the distance given by the 549
respective value on the x-axis. Dashed lines indicate minimum/maximum values. 550
551
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552
Figure 4. Results of management-related parameter space exploration, obtained from the simplified 553
model. Panels (a), (b), (c) depict the combinations of management effects (reduction of transmission 554
β, initial host density S0, or host survival) that are required to obtain R0 = 1. In panel (b), reducing 555
transmission or initial density leads to the same graph (see eq. S12). In panel (c), parameter 556
combinations under the plotted surface lead to R0 > 1. Panel (d) indicates the ratios of final host 557
densities (with and without management) as a function of two management parameters (with a 558
quasi-extinction threshold of 0.01). 559
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Decision making for mitigating wildlife diseases: from theory to practice for an 1
emerging pathogen of salamanders 2
3
Online Supporting Information 4
5
Bsal Integral projection model (IPM): derivation 6
To set up the Bsal IPM used in this study, we started with the continuous-time Bsal model 7
presented in Schmidt et al. (2017). The latter considered the states susceptible, latent, and 8
infectious. Because an IPM offers the possibility of structuring the infected compartment according 9
to fungal load and defining load-dependent functions, we first eliminated the state latent. Further, 10
because Bsal-caused population crashes in fire salamanders are expected to happen within a few 11
months or even weeks (see main text), we focused on a post-reproductive period of the year, 12
neglecting recruitment and density-dependent effects on population growth for this period. 13
Compared to the original model, the simplified one is given by the system of equations eq. S1, 14
known in the epidemiological literature as SI-model: 15
���� = −�� − ��� ���� = ��� − �� + ���
(S1)
16
Next, we translated this simplified model into a discrete-time IPM. The resulting model used in the 17
present study is given by the system of equations eq. S2: 18
��� + 1� = ���� � �1 − �����, ����
����, � + 1� = ���� ������, ��������� + � ���, �� �������, ������
(S2)
19
In the following we give a brief description of the model and its components (see also Fig. 1); for 20
more details please refer to Wilber et al. (2016). The points in time t and t+1 are three days apart. 21
Since we focused on a timespan of three months, we got 30 times steps. Parameter � is a constant 22
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reflecting survival probability of susceptible individuals over three days; parameterization details of 23
eq. S2 will be presented in the section Bsal Integral projection model (IPM): parameterization. The 24
function �����, ��� gives the infection probability, and thus �1 − �����, ���� is the probability of 25
not getting infected. The infection probability is a function of the load-dependent transmission 26
effect, ����, of the load-related distribution of infected individuals, ���, ��, and is given by eq. S3: 27
�����, ��� = 1 − exp �−� �������, ������
� (S3)
28
This function would also allow including a reservoir effect (Wilber et al. 2016). However, lacking 29
any reliable information with regard to Bsal, we omitted this effect. 30
Newly infected individuals enter the infected group following an initial load distribution ������. 31
Already infected individuals, on the other hand, either die or survive according to a load-dependent 32
survival probability s(z). Those individuals surviving will experience a growth in fungal load, given 33
by the function ����, ��; see the next section for details on these functions. 34
35
Bsal Integral projection model (IPM): expert elicitation and parameterization 36
As introduced in the main text, we carried out the elicitation in a group of ten experts during a four-37
day workshop. Each expert was initially asked to provide estimates individually (minimum, most 38
likely and maximum values), then allowed to revise those after group discussions based on critically 39
evaluated published and unpublished evidence. For the survival and transmission functions, experts 40
were asked to estimate the respective probabilities at infection loads of 0, 10, 100, 1000 and 10000 41
genomic equivalents (a measure of infection load); for the initial load distribution, estimates of 42
mean, dispersion, and skewness; for the growth function, the maximum observable load and the 43
load growth rate. Because our IPM is based on a log-transformed load scale, for all subsequent 44
analyses we used the following infection loads for the elicited values: -1, log(10), log(100), 45
log(1000), log(10000) , where log refers to the natural logarithm. 46
For the load-(in)dependent survival probabilities, s0 and ���, we used expert elicitation; for all 47
load-dependent functions, we used a logarithmic scale for the fungal load. Because survival is a 48
probability 0 ≤ ≤ 1, we used logistic regression to fit the elicited load-dependent survival 49
probabilities (eq. S4): 50
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��� = exp�"� + "#��1 + exp�"� + "#�� (S4)
51
This function and all following functions are shown in Fig 1 in the main text. The survival 52
probability for susceptible individuals, s0, using these elicited values is very similar to one based on 53
the mean lifespan of an adult salamander: the latter is approximately eight years (see Schmidt et al. 54
2017 and references therein). These and all following parameter values are presented in Table S1. 55
Similar to survival, for the transmission probability we elicited load-dependent probabilities 56
of infection, given an encounter between two salamanders. Here, too, we used logistic regression to 57
fit these values (eq. S5). Further, we scaled this function by an encounter rate ��. 58
���� = �� exp�"$ + "%��1 + exp�"$ + "%�� (S5)
59
Note that we did not directly elicit the exact values needed for the model; rather, since it would be 60
easier for experts to interpret and discuss probabilities, we used these values as an approximation in 61
the transmission probability function eq. S3, where ���� is present in an exponentiated form. As 62
mentioned in the main text, identifying an exact value for �� was accompanied by high uncertainty 63
during the workshop. We thus based our estimated value of �� on data published in Stegen et al. 64
(2017) and on a final size relation, as explained in the following. For a variety of epidemiological 65
models a so-called final size relation has been established, giving the expected long-term density of 66
susceptible individuals escaping infection. One approximate final size relation for our simplified 67
model (presented below, see Eq. S11) is given by eq. S6 (Brauer et al. 2010): 68
log )���*+ = ,� )1 − �*�� + (S6)
69
Here, ,� = ����1 − �.#, and log() refers to the natural logarithm. We used this equation to solve 70
for �, based on the following data from Stegen et al. (2017): these authors followed a Bsal outbreak 71
in a Belgian fire salamander population, using mark-recapture and multistate modelling to describe 72
the demography of the host population. Given the reported 475-m-long transect and assuming a 10-73
m search width, we derived �� = 503 adults / ha (95% CI : 236, 966) from Stegen et al. (2017), i.e. 74
a population at carrying capacity, matching published records for this species in core habitat (Table 75
7.3 in Thiesmeier 2004). From the same article, we used the Poisson regression fit to data in Fig. 1a 76
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of Stegen et al. (2017), corrected for their average reencounter probability of approximately 10% 77
(B. Schmidt, pers. comm.) to calculate �* = 7 adults / ha after nine months. This time span was 78
chosen because in the present work we considered a post-reproductive period, lasting approximately 79
from May to February in the following year. Finally, we also set the survival of infected individuals 80
to = 0.542 (95% CI 0.191, 0.761), again based on Stegen et al. (2017). Note that Eq. S6 does not 81
include s0: because we assumed a population at carrying capacity and emergence of new adults 82
happens approximately between June and November (Sparreboom 2014), we realistically assumed 83
that over nine months, recruitment and (natural) mortality balance out. In summary, given Eq. S6 84
and the above-mentioned parameter uncertainties, we drew 1000 random values for both parameters 85
and used Eq. S6 to derive an empirical distribution for ��, resulting in a median �� = 0.007 (95% 86
CI 0.0037, 0.0125). We then used one of these 1000 pairs of �� and the corresponding ��in each of 87
the IPM simulations. 88
For the initial load function, G0(z’), we elicited information about mean, dispersion and 89
skewness of such a distribution, based on expert knowledge. For an untransformed load scale, a 90
lognormal distribution was a good approximation to this expert information. On a log-transformed 91
load scale, we got a normal distribution with mean 567 and variance 867$ (eq. S7): 92
������~;�567 , 867$ � (S7)
93
We also approached the load growth function with expert elicitation. This function describes 94
the probability density of infected individuals reaching an infection load z’ at time t+1, given load z 95
at time t. It is easiest to visualize such a function as an auto-correlated linear regression model; the 96
latter is a simple but not at all the only possible function. The adjective auto-correlated refers to the 97
fact that we would use the same data time series (fungal load as a function of time) as both predictor 98
and response. In terms of a linear regression, given a predictor value – in this case load z at time t – 99
the aim is to know the expected value – in this case load z’ at time t+1 – and dispersion around this 100
expected value. Without any load-related data at hand, it was difficult for experts to tie this function 101
to their related knowledge. Thus, we instead chose to elicit simpler information with regard to load 102
growth on a single individual. Here, we were interested in knowing the number of zoospores 103
produced by a single zoospore in a limited amount of time, and the maximum load, <=>?, that can 104
be expected. The latter was motivated by the fact that the fungus spreads mostly in two dimensions 105
on an animal’s body, i.e., skin. Thus, we translated this information into a discrete-time fungal load 106
growth model, based on the Beverton-Holt model often used in population ecology (eq. S8): 107
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<@A# = B<@1 + �B − 1� <@<=>?
(S8)
108
Parameter B is the multiplicative density-independent load growth rate. Experts gave the number of 109
zoospores produced by a single zoospore in five days, thus the daily multiplicative growth rate, 110
B#C>D, is the 5th
root of this number, and B = B#C>D% . We started the iteration with a low load L0 = 10 111
to get a load time series. Finally, we log-transformed this time series and auto-regressed it with time 112
lag one, i.e., log�<@A#� = E�log�<@�� or �′ = E���. This approach allowed us to derive the expected 113
value of ����, ��, and a 2nd
degree polynomial best described this relationship (eq. S9). 114
�′ = "G + "H� + "I�$ (S9)
115
Because we worked with the hypothesis of a maximum possible load per animal, Lmax, we 116
introduced a cap for the load growth function: for all � ≥ log�<=>?�, 117
��~;�log�<=>?� , 86$�log�<=>?���. An integral component of the load growth function is the 118
probability density associated with every load. We were not able to gather necessary information to 119
this end, and thus we used the variance reported in Wilber et al. (2016) for Batrachochytrium 120
dendrobatidis (eq. S10). 121
86$��� = 86$ exp�"K�� (S10)
122
In summary, a load z at time t will generate a load z’ at t+1 following a normal distribution with 123
mean given by eq. S9 and variance given by eq. S10. 124
To numerically implement our IPM, we chose a rather broad range for the log-transformed 125
load scale, ranging from l = –10 to u = 15 (see eq. S2). Further, to numerically approximate the 126
integrals, we used 300 mesh-points. We did not explicitly calculate an eviction measure: following 127
some representative simulations it seemed that eviction was not a complication in our IPM. All 128
modeling related work was carried out in Matlab R2015a (The MathWorks Inc., Natick, MA, 129
2015). 130
Exploring management-related parameter space: implementation details 131
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To more broadly understand the effectiveness of mitigation actions, alone or combined, we 132
simplified our IPM as follows. As suggested by Wilber et al. (2016), our IPM (eq. S2) can be 133
“collapsed” by removing the explicit load-dependency of infected individuals, resulting in a discrete 134
time SI-model given by eq. S11: 135
��� + 1� = ���� � �1 − ��������
��� + 1� = ���� �������� + ����
(S11)
136
The transmission probability is now defined as ������� = 1 − exp�−������. The survival 137
probability of infected individuals, , reflects a mean survival related to the original load-dependent 138
distribution (see below). The basic reproduction number for this model is ,� = �� ���1 − �.# 139
(Brauer et al. 2010, Wilber et al. 2016). For our exploration we added three terms for the effect of 140
management to this equation, resulting in eq. S12: 141
,� = ��1 −LM����1 − LN7� ��1 − LO�PQ�1 − �1 − LO�PQ� (S12)
142
This formulation would allow, in a subsequent stage of the decision-analysis process, to relate such 143
reduction to the effort needed to achieve it. For example, the reduction in initial density can be 144
formulated using a Poisson catchability model, so that L = 1 − exp�−RS�, where c is the 145
catchability coefficient and E is effort data; both can be estimated from data (Seber 1982). 146
As is evident from eq. S12, reduction in transmission and initial density have the same effect on R0, 147
as opposed to survival reduction. We introduced the latter for both parameters, � and , on the 148
grounds that such actions will be realistically targeted at all individuals present in a population. The 149
derivation of parameter values is described above, in section Bsal Integral projection model (IPM): 150
expert elicitation and parameterization), and all parameter values are presented in Table S1. Note 151
that reduction in transmission in eq. S12 only affects transmission, whereas for our actions (Tab. 1) 152
we assumed these interventions to induce at the same time a slowed pathogen growth rate (actions 153
c-e); the latter increases . For the results presented in Fig. 4, we assumed LM to only affect 154
transmission, because slowing down pathogen growth has adverse effects on management outcomes 155
(see main text and eq. S12). Finally, to produce Fig 4a-c, we set ,� = 1 in eq. S12 and solved for 156
one management parameter that depended on the remaining management parameter(s). 157
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Additional References 158
Brauer, F., Feng, Z. & Castillo-Chavez, C. (2010) Discrete epidemic models. Mathematical 159
Biosciences and Engineering, 7, 1-15. 160
Seber, G.A. (1982) Estimation of animal abundance. Oxford University Press. 161
Sparrebooom, M. (2014) Salamanders of the Old World. KNNV Publishing, Zeist, the Netherlands. 162
Stegen, G., Pasmans, F., Schmidt, B.R., Rouffaer, L.O., Van Praet, S., Schaub, M., Canessa, S., 163
Laudelout, A., Kinet, T., Adriaensen, C., Haesebrouck, F., Bert, W., Bossuyt, F. & Martel, A. 164
(2017) Drivers of salamander extirpation mediated by Batrachochytrium salamandrivorans. Nature, 165
544, 353-356. 166
Thiesmeier, B. (2004) Der Feuersalamander. Laurenti, Bielefield, Germany. 167
168
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Table S1. Parameter values used in this study for the integral projection model. z and z’ refer to the 169
log-transformed load scale. Elicited parameter values shown in this table correspond to the best 170
estimates of experts. For the full distribution of each parameter value see archived data. 171
172
Parameter Description Value Source
Survival (eq. S4)
s0 Survival probability of
susceptible individuals
0.9906 s(z) fit to elicited
survival values;
s0 = s(z=0)
b0 Intercept logit(s(z)) 4.3712 s(z) fit to elicited
survival values
b1 Slope logit(s(z)) –0.8413 s(z) fit to elicited
survival values
Transmission (eq. S5)
�� Encounter rate
0.007 Derived from
Stegen et al. (2017)
b2 Intercept logit( ���� ) –4.1651 ���� fit to elicited
transmission values
b3 Slope logit( ���� ) 1.1612 ���� fit to elicited
transmission values
Initial load (eq. S7)
567 Mean of normal distribution 5.2983 Elicitation
867$ Variance of normal distribution 0.5 Elicitation
Load growth (eqs. S8-S10)
b4 Intercept (expected value z’) 1.0194 Elicitation (see text)
b5 Coefficient z (expected value z’) 1.5288 Elicitation (see text)
b6 Coefficient z2 (expected value
z’)
–0.0692 Elicitation (see text)
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86$ Variance 86$��� 5.92 Wilber et al. (2016)
b7 Coefficient z (86$���) –0.049 Wilber et al. (2016)
Host movement
vdisp Mean velocity of moving fire
salamanders in a typical middle
European habitat
0.5 km year-1
Schulte et al. 2007
Initial densities for simulations
S0 Initial density of susceptible
individuals at carrying capacity
503 adults ha-1
Stegen et al. (2017)
I0 Initial density of infected
individuals entering a healthy
population
0 or 1 adults
km-2
Schmidt et al.
(2017)
Exploring management-related parameter space
Average survival probability of
infected individuals
0.542 Stegen et al. (2017)
173
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