Changes in animal performance and profitability of Holstein dairy operations after introduction of crossbreeding with Montbéliarde, Normande, and Scandinavian Red.

An individual-based mechanistic, stochastic, and dynamic simulation model was developed to assess economic effects resulting from changes in performance for milk yield and solid contents, reproduction, health, and replacement, induced by the introduction of crossbreeding in Holstein dairy operations. Three crossbreeding schemes, Holstein × Montbéliarde, Holstein × Montbéliarde × Normande, and Holstein × Montbéliarde × Scandinavian Red, were implemented in Holstein dairy operations and compared with Holstein pure breeding. Sires were selected based on their estimated breeding value for milk. Two initial operations were simulated according to the prevalence (average or high) of reproductive and health disorders in the lactating herd. Evolution of operations was simulated during 15 yr under 2 alternative managerial goals (constant number of cows or constant volume of milk sold). After 15 yr, breed percentages reached equilibrium for the 2-breed but not for the 3-breed schemes. After 5 yr of simulation, all 3 crossbreeding schemes reduced average milk yield per cow-year compared with the pure Holstein scheme. Changes in other animal performance (milk solid contents, reproduction, udder health, and longevity) were always in favor of crossbreeding schemes. Under an objective of constant number of cows, margin over variable costs in average discounted value over the 15 yr of simulation was slightly increased by crossbreeding schemes, with an average prevalence of disorders up to €32/cow-year. In operations with a high prevalence of disorders, crossbreeding schemes increased the margin over variable costs up to €91/cow-year. Under an objective of constant volume of milk sold, crossbreeding schemes improved margin over variable costs up to €10/1,000L (corresponding to around €96/cow-year) for average prevalence of disorders, and up to €13/1,000L (corresponding to around €117/cow-year) for high prevalence of disorders. Under an objective of constant number of cows, an unfavorable pricing context (milk price vs. concentrates price) increased slightly crossbreeding positive effects on margin over variable costs. Under an objective of constant volume of milk, only very limited changes in differences of margins were found between the breeding schemes. Our results, obtained conditionally to the parameterization values used here, suggest that dairy crossbreeding should be considered as a relevant option for Holstein dairy operations with a production level until 9,000 kg/cow-year in France, and possibly in other countries.

Decrease in milk yield associated with exposure to bluetongue virus serotype 8 in cattle herds.

Decreased milk yield and reduced fertility are the primary consequences of infection by bluetongue virus serotype 8 (BTV-8). These effects must be quantified to fully assess the economic benefit of vaccination. This can be estimated by measuring the effect of BTV-8 exposure on milk yield and fertility for all cows belonging to an infected herd. The objectives of this study were (1) to quantify the mean effect of exposure to BTV-8 on milk yield following natural challenge for cows in herds previously naïve, (2) to determine the duration of reduced milk yield before and after the date disease was first detected in the herd to estimate the cumulative loss of milk yield during this period, and (3) to evaluate the influence of the proportion of infected neighboring herds on the reduction in milk yield following exposure to BTV-8. The effects of exposure to BTV-8 during the French outbreak of 2007 were assessed using mixed linear models, which allow adjustment for factors known to influence milk yield. Exposure to BTV-8 was associated with a sharp decrease in milk yield over a period of 6 mo (2 mo before to 4 mo after the reported date of disease detection in the herd). The cumulative loss of milk yield was more than 3% of annual production. The relatively earlier reduction in milk yield in infected herds detected later in the outbreak period suggests that detection of clinical signs was delayed in these herds. Finally, the greatest decrease in milk yield was observed in herds detected early during the outbreak period and located in areas with the highest disease incidence. This may be due to a greater within-herd incidence or to a greater amount of virus injected by midges to individual cows in these herds.

Quantification and at-risk period of decreased fertility associated with exposure to bluetongue virus serotype 8 in naïve dairy herds.

The detrimental effect of bluetongue virus serotype 8 (BTV-8) on fertility was quantified in seroconverting cows. Although the effect on individual cows provides information regarding the potential biological burden of infection, losses at a herd level are also dependent on the proportion of infected cows within the herd. The objectives of this study were to quantify the average effect of BTV-8 exposure in field conditions on the fertility of dairy cows in previously naïve herds, and to determine the at-risk period of decreased fertility related to the date of detection of the disease in the herd. The effect of BTV-8 exposure on fertility was assessed using the 90-d-return-to-service rates after the first artificial insemination (AI) calculated for cows in exposed herds (during the 2007 epizootic in France) and compared with that for cows in unexposed herds. Only herds with a confirmed detection that were reported after clinical suspicion were included. To determine the at-risk period of decreased fertility, variations of fertility in exposed herds were quantified according to the time interval between the date of AI for individual cows and the date that disease was detected in the herd. Survival analyses were used to assess the risk of decreased fertility associated with BTV-8 exposure, adjusting for the main factors known to influence fertility. The episode at risk for decreased fertility depended on the month of disease detection in the herd. For herds detected early in the epizootic, fertility was decreased for cows inseminated from 1 mo before to 1 mo after the date of disease detection in the herd. Depending on time interval between the date of AI of cows and the date of detection in the herd, the increase of return-to-service rate associated with BTV-8 exposure varied from 8 to 21 percentage points of 90-d return to service. The episode of decreased fertility is likely due to a combination of the effect of the infection at different stages of conception and early pregnancy and the delayed exposure of cows due to the spreading of the virus within herds. For herds detected during the second half of the epizootic, fertility was decreased for cows inseminated more than 2 mo before detection, which suggests a delay in the detection of clinical signs following virus introduction in the herd. No correlation was observed between the effect of BTV-8 exposure on fertility and the incidence of BTV-8 in the local geographical area. Given the duration of the period that cows were at risk for decreased fertility and the magnitude of the effect, the average BTV-8 exposure in naïve herds led to major losses.

Invited review: modeling within-herd transmission of Mycobacterium avium subspecies paratuberculosis in dairy cattle: a review.

Epidemiological models have been developed to test hypotheses on Mycobacterium avium ssp. paratuberculosis (Map) transmission in a herd, and to compare different paratuberculosis control strategies and alternatives for certification-and-surveillance schemes. The models are simplified representations of existing biological processes tailored to the questions they are intended to answer. Such models depend on available knowledge about the underlying processes, notably in relation to pathogen transmission. All decisions relating to integration of specific aspects of the herd structure and transmission mechanisms as well as modeling objective will influence model behavior and simulation results. This paper examines assumptions on pathogen transmission and risk mitigation represented in 8 epidemiological models of within-herd Map transmission in dairy cattle. We describe available models' structure and examine them in the context of current knowledge about host infection and pathogen transmission pathways. We investigate how population structure and herd management are modeled with regard to their influence on contact structure and pathogen transmission. We show that assumptions about routes of transmission and their contribution within a herd vary greatly among models. Gaps of knowledge that are pivotal to defining transmission equations and parameters, such as variation of susceptibility with age and variability of pattern of shedding, are identified. Quantitative estimates of this incomplete information should be targeted by future research. Existing models could be improved by considering indirect transmission via the environment taking account of Map survival and contact structure between animals in a herd, and by including calf-to-calf transmission, which has recently been proven as being important.

Higher non-return rate associated with Mycobacterium avium subspecies paratuberculosis infection at early stage in Holstein dairy cows.

The effects of infection by Mycobacterium avium paratuberculosis (Map) on dairy cows are poorly documented and quite controversial. This retrospective study aimed at quantifying the variation in non-return to service of Holstein dairy cows according to their Map-infection status. Three different statuses were defined based on both individual and herd tests results: ELISA positive cow, all tests negative cow in a negative herd and all tests negative cow in a positive herd. Whatever the age at Map testing, the status was attributed to a cow from its first lactation onwards. Non-return to service was determined at 200 days after first and second services. The study was performed from 1999 to 2007 on 185,950 AI from 48,914 cows in early stage of the infection in 1069 herds by logistic regression controlling for known factors influencing non-return rate. Non-return rate was higher for infected cows compared to negative cows from negative herds (RR of 1.10 or +3.9 points of % of non-return rate). The effect was significant for parities 1 and 2 (RR of 1.11 and 1.12, respectively) but not for higher ones. This effect was lower when comparing positive cows to negative cows in the same herds but relative risks were still above 1. The hypothesis that the effect of Map on non-return depends upon the stage of infection is formulated.

Exposure to pathogens and incidence of respiratory disease in young bulls on their arrival at fattening operations in France.

The incidence of clinical respiratory disease in 698 young beef bulls kept in 68 pens, and their exposure to respiratory pathogens after their arrival at 51 fattening operations in western France were assessed. Antibodies against bovine respiratory syncytial virus (BRSV), bovine herpesvirus type 1 (BHV-1), Mannheimia haemolytica and Mycoplasma bovis were measured by ELISA. The incidence risk of respiratory disease was 18.5 per cent during the first six weeks. Cases occurred in 37 of the 68 pens, and in these pens 30.9 per cent of the bulls were affected. Their exposure to BHV-1 was very limited. When they arrived a high proportion of the bulls were seropositive to M haemolytica and a high proportion seroconverted to BRSV, M haemolytica and M bovis within the first six weeks. The risk of incidence of respiratory disease was lower in the pens in which the bulls had been vaccinated against M haemolytica. Higher proportions of the bulls were affected in pens in which small proportions of the bulls were seropositive to M haemolytica or BRSV on arrival, and in pens in which high proportions of the bulls were exposed to M haemolytica or BRSV during the first six weeks.

Detection by real-time RT-PCR of a bovine respiratory syncytial virus vaccine in calves vaccinated intranasally.

Seventeen four- to five-week-old calves that were not shedding bovine respiratory syncytial virus (BRSV) were vaccinated intranasally against the disease and sampled by nasal swabbing on 16 different days for up to 20 days after vaccination. BRSV vaccine virus was detected in 15 of the 17 calves. Five of the calves were PCR positive on only one swab, eight were PCR positive on two to five swabs and two were PCR positive on more than five swabs. Twelve of the calves were positive only before day 14 and three were positive after day 14. The nasal shedding of BRSV vaccine virus was very variable.

[Prioritising the risk of foodborne zoonoses using a quantitative approach: application to foodborne bacterial hazards in pork and beef]. / Hiérarchiser les risques de zoonoses alimentaires: une approche quantitative. Application aux dangers bactériens transmis par les viandes porcine et bovine.

Foodborne zoonoses are a major public health concern. Risk analysis, which underpins international policies on food safety and trade in foodstuffs of animal origin, requires that an assessment be made of the occurrence and severity of human cases for each type of foodstuff. However, the tools currently available for quantifying risks are only capable of estimating the consequences of certain diseases. This article proposes an alternative quantitative approach for prioritising the risk of foodborne zoonoses, based on the creation of a typology of hazards and calculating a risk score. A combination of average hospitalisation and mortality rates is used to quantify the severity of human cases. By calculating the percentage of food-associated cases it is possible to estimate the incidence of cases linked specifically with the foodstuff being assessed. This method is illustrated by applying it to bacterial zoonotic hazards in pork and beef and provides a support tool for veterinary public health decision-makers.

Recovery methods for detection and quantification of Campylobacter depend on meat matrices and bacteriological or PCR tools.

Campylobacter is one of the main causes of human foodborne bacterial disease associated with meat consumption in developed countries. Therefore, the most effective approach for recovery and detection of Campylobacter from meat should be determined. Two hundred ninety pork skin and chine samples were inoculated with Campylobacter jejuni NCTC 11168 and two strains of Campylobacter coli. Campylobacter cells were then recovered from suspensions and enumerated by direct plating. Campylobacter recovery was evaluated by comparing results for two methods of sample collection (swabbing and mechanical pummeling) and three recovery fluids (peptone water, 5% glucose serum, and demineralized water). End-point multiplex PCR was performed to evaluate the compatibility of the recovery fluids with direct PCR detection techniques. Mean recovery ratios differed significantly between pork skin and chine samples. Ratios were higher for mechanical pummeling (0.53 for pork skin and 0.49 for chine) than for swabbing (0.31 and 0.13, respectively). For pork skin, ratios obtained with peptone water (0.50) and with glucose serum (0.55) were higher than those obtained with demineralized water (0.16). Significant differences were not observed for chine samples. Direct multiplex PCR detection of Campylobacter was possible with pork skin samples. The tools for Campylobacter recovery must be appropriate for the meat matrix to be evaluated. In this study, less than 66% of inoculated Campylobacter was recovered from meat. This underestimation must be taken into account for quantitative risk analysis of Campylobacter infection.

Simulation study to assess the efficiency of a test-and-cull scheme to control the spread of the bovine viral-diarrhoea virus in a dairy herd.

To control the spread of bovine viral-diarrhoea virus (BVDV), test-and-cull schemes have been used in Scandinavian countries, with success, when combined with strict control of new animal introductions into herds. In situations where BVDV reintroduction is likely to occur, it is necessary to assess precisely the expected efficiency of test-and-cull schemes. The objective of this study was to compare, by simulation, the persistence and consequences of BVDV infection in a fully susceptible dairy herd with either a test-and-cull scheme or no control action. We used a stochastic individual-based model representing the herd structure as groups of animals, herd dynamics, the contact structure within the herd and virus transmission. After an initial introduction of the virus into a fully susceptible herd, the frequency of purchases of animals that introduced the virus was simulated as high, intermediate or null. Virus persistence and epidemic size (total number of animals infected) were simulated over 10 years. The test-and-cull reduced the epidemic size and the number of days the virus was present except in herds with complete prevention of contact between groups of animals. Where no virus was reintroduced, virus persistence did not exceed 6 years with a test-and-cull scheme, whereas the virus was still present 10 years after the virus introduction in some replications with no control action (<2%). Where frequent purchases were made that led to virus introduction (6 within 10 years), with an intermediate virus transmission between groups, the probability of virus persistence 10 years after the first virus introduction fell from 31% to 8% with the test-and-cull scheme (compared to the do-nothing strategy). Within the newly infected herd, the test-and-cull scheme had no effect, on inspection, on the number of PI births, embryonic deaths or abortions over 10 years. Given this, the economic efficiency of the test-and-cull scheme should be further investigated.

Bulk milk somatic cell counts and bovine viral diarrhoea virus (BVDV) infection in 7252 dairy herds in Brittany (western France).

Variations in test-day bulk milk somatic cell count (BMSCC) according to bovine viral diarrhoea virus (BVDV) infection status of the herd were quantified. Infection statuses were defined, based on bulk-milk antibodies measured twice 4 months apart. On each test-day, BMSCC was calculated as the weighted mean of the individual cow-level somatic cell counts. A total of 97,985 test-days in 7252 herds were considered. The effect of the BVDV-infection on BMSCC was assessed using mixed linear models, controlling for herd (random), proportion of primiparous cows and average days in milk on test-day. Considering test-days contemporary to the BVDV-status definition-period, the increase in BMSCC was 12,000 (P<0.001), 27,000 (P<0.001) and 6000 (P=0.97) cells/ml in past-infected recently recovered, past-but-still-infected and recently infected herds respectively, compared with not recently infected herds. A carry-over effect (at least 1 year) of BVDV-infection on BMSCC was also evidenced in past-infected recently recovered, past-but-still-infected and recently infected herds.

The effect of eliprodil on the evolution of a focal cerebral ischaemia in vivo.

The purpose of the present study was to evaluate in vivo the effect of a non competitive antagonist of the NMDA receptor, eliprodil, on the size of a focal ischaemic insult and on its temporal evolution in a rat model, using a spin-echo diffusion magnetic resonance imaging multislice technique. Rats were either injected with 1 mg/kg i.v. of eliprodil or with the vehicle only (placebo) 5 min after middle cerebral artery occlusion, or not injected (controls). Ten coronal slices were acquired every hour, up to 7 h after occlusion of the artery, and the volume of hyperintense signals was measured at each time point and for each animal. Diffusion magnetic resonance images revealed that the administration of eliprodil reduced significantly (by 50% or more) the volume of ischaemia, up to 7 h after occlusion, particularly in the cortex of the ipsilateral hemisphere. The results show the potential efficacy of eliprodil to reduce the cerebral ischaemic volume after arterial occlusion, thus confirming the interest of glutamate receptor antagonists in the treatment of ischaemia.

Nuclear factor-kappa B activation in permanent intraluminal focal cerebral ischemia in the rat.

Nuclear factor-kappa B (NF-kappa B) is an oxidative stress responsive transcription factor known to be activated in response to transient middle cerebral artery intraluminal occlusion. Since oxidative stress activation may largely occur during reperfusion, the aim of this study was to determine if permanent middle cerebral artery intraluminal occlusion without reperfusion induces NF-kappa B activation and the relationship of NF-kappa B activation to HSP70 expression and neuronal cell death. Our results suggest that permanent intraluminal occlusion is sufficient to induce NF-kappa B activation 7 h after the onset of occlusion. Interestingly, this activation seems to occur specifically in dying neurons of the penumbra area devoid of any HSP70 neuronal immunoreactivity. These findings are consistent with the suggested protective role of HSP70 expression and suggest that NF-kappa B activation observed in the penumbra area has a role in neuronal cell death after permanent intraluminal cerebral ischemia.

Evaluation of a blocking ELISA for the detection of bovine viral diarrhoea virus (BVDV) antibodies in serum and milk.

The performance characteristics of a blocking ELISA test applied to serum and individual milk for the detection of antibodies to bovine viral diarrhoea virus (BVDV) were assessed using 1189 matched milk/serum samples collected from cows of 42 dairy herds located in Brittany (west of France). This test was based on a monoclonal antibody directed against non-structural protein NS2-3 of pestiviruses. All tests were performed blind. For each type of sample, negative/positive cut-off values were determined using receiver operating characteristic (ROC) analysis. Sensitivity and specificity were estimated using the virus neutralisation test as a reference. For sera, the ROC analysis provided a negative/positive inhibition percentage cut-off value of 50% giving a sensitivity and a specificity of 96.9 and 97.8%. For individual milk samples, the cut-off was fixed at 30%, leading to a sensitivity and a specificity of 96.9 and 97.3%. Using this test, a good overall agreement was found between results obtained on matched milk/serum samples (Kappa value=0.95). The present results indicate that this blocking ELISA test is reliable enough for use in a mass screening and control scheme on BVDV.

Loss in milk yield and related composition changes resulting from clinical mastitis in dairy cows.

Relationships between clinical mastitis and milk yield and composition in dairy cows were reviewed. Requirements for inclusion were: data had to be collected after 1975; dependent variables for milk yield and milk composition had to be defined at the cow level; mastitis cases had to be defined by clinical signs, and at least 250 lactations had to be considered. Twenty studies dealing with milk-yield loss and, for four of them, also with related composition changes were selected. Study populations, design of data collection, and analysis methods differed widely between studies. As expected from these differences--but also due to structural-variation factors such as type of pathogen, animal and production level--estimates for milk-yield losses differed in average magnitude and pattern. Literature data regarding changes in milk-fat % and total-protein % changes were contradictory. Critiques of materials and methods allowed us to propose some final recommendations for values to be used as basic inputs in economic calculations of losses caused by mastitis.

Risk of clinical mastitis in dairy herds with a high proportion of low individual milk somatic-cell counts.

The relationships between the herd-somatic-cell count (SCC) pattern on a test day and the incidence of clinical mastitis in the subsequent period were studied by collecting health data and monthly records from 2 years (1995-1997) from 121 farms located in the west of France. A total of 980 herd-periods (from one test day to the following one) were analyzed. The outcome variable was the incidence density of clinical mastitis (ICM) within the herd-period. The herd-SCC pattern on a test day was described by cross-combining the proportions of cows with low SCC (<50,000 cells/ml) or with high SCC (>250,000 cells/ml). The relationship between herd-SCC pattern and subsequent ICM was assessed using a generalized linear mixed model. A sensitivity analysis evaluated the effect of different proportions of cows with low SCC on significance and magnitude of the relationship. Risk of clinical mastitis was expressed as a risk ratio (RR) in comparison to a moderate herd-SCC level (with low proportions of cows with low or high SCC). Median ICM was 0.38 cases per 365 cow-days at risk (first and third quartiles: 0 and 0.88). In the situations where few cows (<15%) had SCC>250,000 cells/ml, ICM was higher (RR>1.31) when the proportion of cows with low SCC exceeded 50% than in the reference situation. Risk ratios increased as the proportion of cows with low SCC increased from 40 to 60%. In the situations where the proportion of cows with SCC>250,000 cells/ml exceeded 15%, ICM was higher compared to the reference situation (whatever the proportion of low SCC). Risk ratios were also higher when the proportion of cows with low SCC were >40-60%, compared to the pattern with the proportion of cows with low SCC below 40%. Herd situations with a high proportion of cows with low SCC appeared to be at increased risk of clinical mastitis.

Effects of disease on milk production in the dairy cow: a review.

Estimates of milk losses consequent to dystocia, stillbirth, milk fever, retained placenta, metritis, cystic ovaries, ketosis, displaced abomasum and locomotor disorders were reviewed. Papers were selected if they provided quantitative estimates of losses based on data collected after 1965, with a sample size resulting in a minimum number of disease cases of 25. Thirty-five papers fulfilled the selection criteria. Milk losses were expressed in kg/day over the period under study to allow comparison of results. Milk fever and cystic ovaries were not associated with yield losses (six studies for each disease). Less than half of the studies found losses associated with dystocia, retained placenta, and metritis, with, respectively, five studies out of 13 (0.3-2.3 kg/day across the lactation), five studies out of 13 (0.8 kg/day across the lactation to 2.5 kg/day across 100 days in milk), and two studies out of 10 (0.4 kg/day across the lactation, and 2.3 kg/day across 119 days in milk). More than half of the studies found losses associated with stillbirth, clinical ketosis, ketosis evidenced by a diagnostic test, and locomotor disorders, with, respectively, three studies out of five (0.7-1.3 kg/day across the lactation), seven studies out of 11 (2.6-5.7 kg/day short-term, and 1.2 kg/day across the lactation), five studies out of seven (1-7 kg/day on the day of diagnosis, and around 1 kg/day across 200 days in milk), and six studies out of 11 (0.3-3.3 kg/day across the lactation). All the five studies, investigating effects of displaced abomasum, found losses (3.5-10.9 kg/day across 80 days in milk, or 0.8-2.5 kg/day across the lactation).

Reasons for culling in French Holstein cows.

The study describes the profiles of culled cows in order to assess the possible contribution to economic losses due to health disorders. Data regarding dates of birth, final calving and culling, parity at culling, milk yield at the two first test-days of the final lactation and reason(s) for culling were collected in a 5-year survey, carried out from 1989 to 1994 in 84 commercial Holstein farms in western France. Polytomous logistic regression was used to assess the relationship between parity, calving-to-culling interval, milk yield and eight groups of primary culling reasons (i.e. udder disorders; infertility or reproductive disorders; lameness or foot/leg defects; emergency culling reasons; other health disorders; low milk yield; sales for dairy purpose; and other voluntary culling reasons). Out of a total of 5133 culled cows, the proportions of culls, for each of these groups of reasons, were 12.4, 28.4, 2.7, 3.9, 4.6, 16.7, 5.9, and 25.4%, respectively. Cows culled for udder disorders left the herd earlier in lactation and were more frequently at parities 4-6 than cows culled for voluntary reasons. In contrast, cows culled for infertility were younger and culled later within lactation. They were also higher yielding cows than those culled for other reasons. Cows culled for lameness were similar to those of the voluntarily culling group. Cows culled for emergency reasons were more frequently younger cows in early lactation. Cows culled for other health disorders left the herd early in lactation, but at a higher parity than the voluntarily culled cows. These results suggest that most of the culls related to health could be contributing to economic loss. However, special priority should be given to reduce culling for reproductive problems, which is the most costly exit reason.

Risk factors for high sow mortality in French swine herds.

Episodes of high sow mortality rates affect profitability of swine farms. However, relevant control actions are difficult to implement. The objective of this study was to identify the risk factors for high levels of sow mortality rate (HM) in French swine herds. A case-control study was carried out in 102 swine herds located in Brittany (western France). Level of sow mortality of a herd was quantified by the annual mortality rate using sow-days as denominator. Fifty-five (53.9%) herds which experienced a sow mortality rate over 5% were classified as HM herds. Logistic regression was used to assess associations of managerial practices and disease prevalence with the odds of HM. High prevalence of urinary tract infections, metritis or lameness were significantly associated with a HM herd status (P < 0.10, OR ranging from 3.4 to 5.2). Multiplying herds were herds at higher risk for sow mortality than commercial farrow-to-finish herds. Providing three meals per day instead of two to dry sows decreased the odds of HM. Feeding plans where the maximum daily amount of feed provided to lactating sows was lower than 8 kg and was reached before 15 d in lactation were related to lower odds of HM (P < 0.10). Average age at weaning of 28 d or more and/or small average litter size at birth (12 piglets or less) were associated with higher odds of experiencing HM.

Effect of disease on reproduction in the dairy cow: a meta-analysis.

Effects on reproduction of dystocia, stillbirth, abortion, milk fever, retained placenta, metritis, cystic ovaries, anestrus, ketosis, displaced abomasum, locomotor disorders, and mastitis were reviewed. Papers were considered if they provided quantitative estimates of diseases on days to first estrus, days to first service, conception rate at first service, days from first service to conception, days to conception or days open, calving interval, conception rates at various days post partum (dpp), and number of services per conception or per cow. Only papers in English in peer-reviewed journals were selected for analysis of post 1960 data from intensive dairy regions. Seventy papers fulfilled the selection criteria. Summary estimates of disease effects were calculated according to meta-analysis methods, and study designs were described in detail to identify possible heterogeneity of the results. Stillbirth, milk fever, displaced abomasum and mastitis had no effect on reproduction. Clinical ketosis, dystocia and retained placenta were associated with 2 to 3 more days to first service and with a 4 to 10% lower conception rate at first service, resulting in 6 to 12 more days to conception. Locomotor disorders were associated with an average increase of 12 d to conception, with wide variation depending on lesions and stage of occurrence. Metritis was associated with 7 more days to first service, 20% lower conception rate at first service, resulting in 19 more days to conception. Cystic ovaries were associated with 6 to 11 more days to first service and with 20 to 30 more days to conception. Anestrus was associated with 26 more days to first service and with an 18% lower conception rate at first service, resulting in 41 more days to conception. Abortion was associated with 70 to 80 more days to conception.