Table 5 Group ranking of interventions for the surveillance (SURV) and control (CONT) models

SURV2a – Active surveillance of vectors I. scapularis (flagging or dragging)

1

0.43

1

0.45

SURV2b – Active surveillance of vectors I. scapularis (trapping of small rodents)

2

0.40

2

0.42

SURV1a – Passive surveillance of vectors I. scapularis originating from humans

3

0.07

3

0.10

SURV6 – Sentinel surveillance of suspected Lyme cases in humans

4

0.03

5

−0.01

SURV1b – Passive surveillance of vectors I. scapularis originating from animals

5

0.00

4

0.04

SURV5 – Passive surveillance of human Lyme disease cases

6

−0.08

9

−0.14

SURV2c – Active surveillance of vectors I. scapularis (from hunted deer)

7

−0.13

7

−0.17

SURV3a – Passive surveillance of seropositivity to B. burgdorferi in domestic animals, funding of tests supported by animal owners

8

−0.14

6

−0.12

SURV3c – Passive surveillance of seropositivity to B. burgdorferi in domestic animals, funding of tests supported by the public sector

8

−0.14

6

−0.12

SURV3b – Passive surveillance of seropositivity to B .burgdorferi in domestic animals, funding of tests supported by the private sector (industry)

9

−0.17

9

−0.14

SURV4 – Active surveillance of domestic animal cases of Lyme disease

10

−0.27

8

−0.34

CONT model

Rank

Score

Rank

Score

CONT0 – Status quo (basic preventive communication strategy)

1

0.43

1

0.39

CONT11 – Human vaccination¹

2

0.31

2

0.31

CONT3a – Small scale landscaping (removal of tick habitats)

3

0.28

3

0.3

CONT10 – Excluding people from high-risk public areas

5

0.25

4

0.29

CONT12 – Making available special Lyme disease diagnostic/treatment clinic(s)

6

0.23

5

0.2

CONT4 – ‘4-poster’ device[47]

8

0.03

6

0.06

CONT7 – Exclusion of deer by fencing

9

−0.04

9

−0.02

CONT1a – Small scale acaricide application to kill free-living ticks

9

−0.04

7

0.01

CONT3b – Large scale Landscaping (removal of tick habitats)

10

−0.07

10

−0.03

CONT1b – Large scale acaricide application to kill free-living ticks

11

−0.08

8

−0.01

CONT2 – Application of desiccants/insecticidal soap

12

−0.14

11

−0.15

CONT5 – Feed-administered ivermectin to deer at bait stations to control ticks

13

−0.15

12

−0.17

CONT8 – ‘Damminix’ device[48]

14

−0.22

13

−0.25

CONT9 – Bait boxes to deliver a passive application of fipronil to rodents[49]

14

−0.22

13

−0.25

CONT6a – Deer hunting

15

−0.25

14

−0.29

CONT6b – Deer culling

16

−0.33

15

−0.31