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Open AccessArticle

A Rational Explanation of Limited FMD Vaccine Uptake in Endemic Regions

1
Institute for Research and Education to Advance Community Health, College of Medicine, Washington State University, Pullman, WA 99163, USA
2
Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA 99163, USA
3
School of Economic Sciences, Washington State University, Pullman, WA 99163, USA
*
Author to whom correspondence should be addressed.
Pathogens 2019, 8(4), 181; https://doi.org/10.3390/pathogens8040181
Received: 17 August 2019 / Revised: 7 October 2019 / Accepted: 8 October 2019 / Published: 10 October 2019
Vaccination for foot-and-mouth (FMD) disease remains low in parts of Africa despite the existence of vaccines. In East Africa, the presence of multiple virus serotypes and sub-types makes matching a vaccine with the circulating virus type in the field, or providing a high potency vaccine, a challenge. In this paper we use game theory to show that the resulting vaccine uncertainty associated with these vaccination conditions in an endemic setting help explain the low vaccine uptake. We evaluate vaccination for FMD in the context of East Africa due to FMD being endemic in the region, the diversity of FMD virus types, and barriers to implementing other disease control measures, such as controlled movements. We incorporate these conditions into a vaccination game setting and compare the payoffs to those of a traditional vaccination game for seasonal influenza and commercial livestock vaccination in a developed country context. In showing that vaccination provides households with a lower payoff than not vaccinating, our simple game theoretical explanation supports existing evidence calling for improved vaccine quality and efforts to enhance surveillance to provide early information on disease status. View Full-Text
Keywords: Foot-and-mouth disease; game theory; vaccination; vaccines; uncertainty Foot-and-mouth disease; game theory; vaccination; vaccines; uncertainty
MDPI and ACS Style

Railey, A.F.; Marsh, T.L. A Rational Explanation of Limited FMD Vaccine Uptake in Endemic Regions. Pathogens 2019, 8, 181.

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