26Despite existence of human vaccines, Japanese Encephalitis (JE) remains a prominent public health 27 problem in Southeast Asia (SEA). JE is caused by a Flavivirus which is transmitted between pigs, the main 28 amplifying hosts, by Culex mosquito bites. Therefore, sow vaccination, pig herd management and vector 29 control -or a combination of these three potential control measures, might constitute additional control 30 measures contributing to reduce JE health impact in humans, and economic losses in pig farms. We built a 31 deterministic metapopulation model, combining a pig and a Culex mosquito vector population, to represent 32 JE virus (JEV) transmission dynamic within a pig herd. The dynamic of the epidemiological systems resulted 33 from an infectious process, operating in continuous time, combined with the pig breeding process that was 34 modeled based on discrete events occurring instantaneously. We used this model to simulate JEV 35 transmission within a continuum of plausible pig breeding systems encountered in SEA, ranging from 36 backyards to semi-commercial systems. We then analyzed the joint effects of the three tested control 37 measures, namely sow vaccination, pig herd management and vector control, on several indicators 38 characterizing (i) the ability of different pig breeding systems to be simultaneously profitable and allow JEV 39 eradication in the herd, (ii) the impact of JE on pig production and the profitability of gilt vaccination, and 40 (iii) the risk for human beings living in the vicinity of pig herds and/or near pig slaughterhouses. According 41 to our model, herd management has no effect on JEV circulation. Vector control alone is a major control tool 42 but shows paradoxical effects that should be considered in any mosquito based control strategy. Combining 43 sow vaccination and vector control could be an alternative or an additional measure to human vaccination to 44 efficiently reduce both JE incidence in humans and the economic impact of JE infection on pig farms. 45 Author summary 46 Japanese Encephalitis (JE) still has an important impact on human health in Southeast Asia. Human 47 vaccination is an efficient tool to protect humans but it may not be effective against emerging strains, and 48 poor or remote population may not be able to afford it. Severe outbreaks still occur. JE virus (JEV) is 49 primarily transmitted between pigs and mosquitoes. When infected after sexual maturity, pigs show 50 reproduction disorders leading to economic losses. We propose a modelling approach to investigate the joint 51 effect of three additional control measures, namely sow vaccination, vector control, and pig herd 52 management on JEV transmission dynamic, risk for humans and pigs, and pig breeding sustainability.3 53 According to our results, vector control, associated or not with sow vaccination, may be an efficient tool to 54 reduce JE incidence in both human and pigs.
55