Evidence map›Paper›PMID 39965906›Full record

ArticleRisk analysis : an official publication of the Society for Risk Analysis2025

Simulation model to estimate the burden of disease due to hepatitis E virus in Dutch pig meat and cost-effectiveness of control measures.

M Focker, C P A van Wagenberg, M A P M van Asseldonk, I L A Boxman, R W Hakze-van der Honing, E D van Asselt

Abstract read
In one paragraph

Article in Risk analysis : an official publication of the Society for Risk Analysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

M FockerWageningen Food Safety Research (WFSR), Wageningen University & Research, Wageningen, the Netherlands.ORCID 0000-0001-8483-0551
C P A van WagenbergWageningen Economic Research (WEcR), Wageningen University & Research, Wageningen, the Netherlands.
M A P M van AsseldonkWageningen Economic Research (WEcR), Wageningen University & Research, Wageningen, the Netherlands.
I L A BoxmanWageningen Food Safety Research (WFSR), Wageningen University & Research, Wageningen, the Netherlands.
R W Hakze-van der HoningWageningen Bioveterinary Research (WBVR), Wageningen University & Research, Lelystad, the Netherlands.
E D van AsseltWageningen Food Safety Research (WFSR), Wageningen University & Research, Wageningen, the Netherlands.

Funding

Dutch Ministry of Agriculture, Fisheries, Food Security and Nature
6 · The paper itself

Abstract

Hepatitis E virus (HEV) can lead to liver disease in humans. In the Netherlands, the consumption of pig meat is thought to be the main contributor to the total burden of disease caused by HEV. In this study, the number of cases and lost disability-adjusted-life-years (DALYs) due to HEV in pig meat were estimated by simulating HEV through the pig supply chain, including the farm, transport, lairage, slaughtering, processing, and consumption stages. The first four stages were modeled using a susceptible-exposed-infected-recovered (SEIR) model. For the last two stages, pig meat and liver products were divided into six product categories commonly consumed by Dutch consumers. Depending on the product category, different ways of heating and storing, leading to the reduction of infectious HEV genome copies, were assumed. Furthermore, the model was challenged by four selected control options at the pig farm: the cleaning of driving boards, the use of predatory flies, the use of rubber mats, and the vaccination of finishing pigs. Finally, the cost-effectiveness of these control measures was estimated by estimating the costs per avoided DALY. For the baseline situation, it was estimated that HEV in pig meat would lead to 70 cases and 21 DALYs per year. All control measures led to a decreased number of DALYs, with vaccination leading to the largest decrease: five DALYs per year. However, the costs per avoided DALY ranged from €0.5 to €7.5 million, making none of the control measures cost-effective unless the control measures are also effective against other pathogens.

Indexed as

Hepatitis EHepatitis E virusMeatAnimalsComputer SimulationCost-Benefit AnalysisCost of IllnessDisability-Adjusted Life YearsHumansNetherlandsSwineburden of diseasecontrol measureseconomicsfood safetyzoonoses

Identifiers

PMID39965906
PMCPMC12747690

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.