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Training of Trainers - Library - Network of Aquaculture Centres in ...

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Population based studies us<strong>in</strong>g epidemiological pr<strong>in</strong>ciples are used to understand the culture system and species.Different types <strong>of</strong> approaches can be taken <strong>in</strong> this direction. In observational studies nature is allowed to take itscourse while the differences or changes <strong>in</strong> characteristics <strong>of</strong> the population are studied without <strong>in</strong>tervention fromthe <strong>in</strong>vestigator. Observational studies can be descriptive, longitud<strong>in</strong>al, cross-sectional or case-control. Descriptivestudies describe the distribution and frequency <strong>of</strong> a outcome (e.g. disease) <strong>in</strong> a population. The described patternsmay lead to a hypothesis (for example, EUS occurs normally dur<strong>in</strong>g cooler months <strong>of</strong> the year). Longitud<strong>in</strong>alstudies follow study units through time, observe and record the course <strong>of</strong> natural events, record frequency <strong>of</strong>outcomes (e.g. disease), look for differences (factors) between groups with and without the selected outcome (e.g.disease). Cross-sectional study gives a snapshot <strong>in</strong> time, prevalence <strong>of</strong> outcome (e.g. disease) is measured andcompared among those with and without the risk factor <strong>of</strong> <strong>in</strong>terest (ex: PCR positivity <strong>of</strong> PL). Case-control studyselects units with the outcome (e.g. disease) <strong>of</strong> <strong>in</strong>terest as cases and units without the disease as controls,frequencies <strong>of</strong> suspected risk factors are then measured for the two groups and compared. The most frequentlyused approach is conduct<strong>in</strong>g questionnaire based population survey and then us<strong>in</strong>g the <strong>in</strong>formation to identify riskfactors.i) Outcomes and AssociationsEpidemiological studies def<strong>in</strong>e certa<strong>in</strong> outcomes and use them for separat<strong>in</strong>g the population <strong>in</strong>to groups forcomparison. Frequently used outcomes <strong>in</strong> epidemiology are mortality and disease outbreaks. For example, shrimpponds may be divided <strong>in</strong>to successful ponds and failure ponds based on disease outbreaks, yield, weight atharvest, length <strong>of</strong> production cycle, etc. Us<strong>in</strong>g epidemiological and statistical tools, it is possible to identifyvariables (factors) associated with def<strong>in</strong>ed outcomes. Variables statistically associated with successful outcomesare regarded as protective factors. Variables statistically associated with failure outcomes are regarded as riskfactors. The risk/protective factors identified based on a population are mere associations with the outcome andshould not be regarded as either cause <strong>of</strong> the outcome or solution to the outcome.Sampl<strong>in</strong>g is a crucial issue <strong>in</strong> epidemiological studies. The sample should be random and should represent thetarget population. The results obta<strong>in</strong>ed from the sample should have to be generalised to the whole population. Inorder to achieve this, the sample size should be such that the results could be generalised with 95% confidence tothe whole population and should have the power to show the statistical differences between groups. Problems <strong>of</strong>bias and how to avoid it is <strong>of</strong> central importance to the validity <strong>of</strong> all epidemiological studies. Bias occurs whenobservations do not reflect the true situation. This is because <strong>of</strong> systematic error such as sample selection bias,sampl<strong>in</strong>g bias, measurement bias, etc.The aim <strong>of</strong> data analysis is to identify risk factors for selected outcomes (e.g. disease outbreaks). Risk factor isany variable hav<strong>in</strong>g statistical association with the outcome <strong>of</strong> concern. Positive association suggests <strong>in</strong>creasedrisk (risk factor) while negative association suggests decreased risk (protective factor). Such identifiedassociations are only statistical associations and not the same as the cause.Interventions developed to address the risk factors can be called as better management practices (BMPs). Forexample not dry<strong>in</strong>g a pond can be a risk factor for poor production. Therefore, dry<strong>in</strong>g the pond before stock<strong>in</strong>gseed becomes a better management practice. BMPs can be developed to address series <strong>of</strong> risk factorsassociated with various stages <strong>in</strong> culture operation (pond preparation, seed selection, stock<strong>in</strong>g, water qualitymanagement, feed management, disease management, pond bottom monitor<strong>in</strong>g, harvest and post harvesthandl<strong>in</strong>g). Once a set <strong>of</strong> BMPs are developed based on scientific studies, stakeholder consultations and exist<strong>in</strong>gscientific knowledge, it is necessary to test the BMPs and validate them. This is normally carried out through farmdemonstration studies. BMPs are constantly evolv<strong>in</strong>g and chang<strong>in</strong>g and it is necessary to consider approaches tocont<strong>in</strong>uously evaluate and improve BMPs.77

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