RT Journal Article T1 Tuberculosis epidemiology in islands: insularity, hosts and trade A1 Acevedo, Pelayo A1 Romero Martínez, Beatriz A1 Vicente, Joaquin A1 Caracappa, Santo A1 Galluzzo, Paola A1 Marineo, Sandra A1 Vicari, Domenico A1 Torina, Alessandra A1 Casal, Carmen A1 de la Fuente, Jose A1 Gortazar, Christian AB Because of their relative simplicity and the barriers to gene flow, islands are ideal systems to study the distribution of biodiversity. However, the knowledge that can be extracted from this peculiar ecosystem regarding epidemiology of economically relevant diseases has not been widely addressed. We used information available in the scientific literature for 10 old world islands or archipelagos and original data on Sicily to gain new insights into the epidemiology of the Mycobacterium tuberculosis complex (MTC). We explored three nonexclusive working hypotheses on the processes modulating bovine tuberculosis (bTB) herd prevalence in cattle and MTC strain diversity: insularity, hosts and trade. Results suggest that bTB herd prevalence was positively correlated with island size, the presence of wild hosts, and the number of imported cattle, but neither with isolation nor with cattle density. MTC strain diversity was positively related with cattle bTB prevalence, presence of wild hosts and the number of imported cattle, but not with island size, isolation, and cattle density. The three most common spoligotype patterns coincided between Sicily and mainland Italy. However in Sicily, these common patterns showed a clearer dominance than on the Italian mainland, and seven of 19 patterns (37%) found in Sicily had not been reported from continental Italy. Strain patterns were not spatially clustered in Sicily. We were able to infer several aspects of MTC epidemiology and control in islands and thus in fragmented host and pathogen populations. Our results point out the relevance of the intensity of the cattle commercial networks in the epidemiology of MTC, and suggest that eradication will prove more difficult with increasing size of the island and its environmental complexity, mainly in terms of the diversity of suitable domestic and wild MTC hosts. PB Public Library Science SN 1932-6203 YR 2013 FD 2013 LK https://hdl.handle.net/20.500.14352/35288 UL https://hdl.handle.net/20.500.14352/35288 LA eng NO Unión Europea. FP7 DS Docta Complutense RD 6 abr 2025