In this study, we investigated the occurrence of direct and indirect
infectious disease transmission pathways among pig farms in Switzerland,
as well as their specific relevance for the spread of African swine
fever, porcine reproductive and respiratory syndrome (PRRS), and
enzootic pneumonia. Data were collected using an adapted mental models
approach, involving initial interviews with experts in the field of pig
health and logistics, semi-structured interviews with pig farmers, and a
final expert workshop, during which all identified pathways were graded
by their predicted frequency of occurrence, their likelihood of spread
of the three diseases of interest, and their overall relevance
considering both parameters. As many as 24 disease pathways were
identified in four areas: pig trade, farmer encounters, external
collaborators, and environmental or other pathways. Two thirds of the
pathways were expected to occur with moderate-to-high frequency. While
both direct and indirect pig trade transmission routes were highly
relevant for the spread of the three pathogens, pathways from the
remaining areas were especially important for PRRS due to higher spread
potential via aerosols and fomites. In addition, we identified factors
modifying the relevance of disease pathways, such as farm production
type and affiliation with trader companies. During the interviews, we
found varying levels of risk perception among farmers concerning some of
the pathways, which affected adherence to biosecurity measures and were
often linked to the degree of trust that farmers had towards their
colleagues and external collaborators. Our findings highlight the
importance of integrating indirect disease pathways into existing
surveillance and control strategies and in disease modelling efforts. We
also propose that biosecurity training aimed at professionals and risk
communication campaigns targeting farmers should be considered to
mitigate the risk of disease spread through the identified pathways.