Control of paratuberculosis: who, why and how. A review of 48 countries.

Paratuberculosis, a chronic disease affecting ruminant livestock, is caused by Mycobacterium avium subsp. paratuberculosis (MAP). It has direct and indirect economic costs, impacts animal welfare and arouses public health concerns. In a survey of 48 countries we found paratuberculosis to be very common in livestock. In about half the countries more than 20% of herds and flocks were infected with MAP. Most countries had large ruminant populations (millions), several types of farmed ruminants, multiple husbandry systems and tens of thousands of individual farms, creating challenges for disease control. In addition, numerous species of free-living wildlife were infected. Paratuberculosis was notifiable in most countries, but formal control programs were present in only 22 countries. Generally, these were the more highly developed countries with advanced veterinary services. Of the countries without a formal control program for paratuberculosis, 76% were in South and Central America, Asia and Africa while 20% were in Europe. Control programs were justified most commonly on animal health grounds, but protecting market access and public health were other factors. Prevalence reduction was the major objective in most countries, but Norway and Sweden aimed to eradicate the disease, so surveillance and response were their major objectives. Government funding was involved in about two thirds of countries, but operations tended to be funded by farmers and their organizations and not by government alone. The majority of countries (60%) had voluntary control programs. Generally, programs were supported by incentives for joining, financial compensation and/or penalties for non-participation. Performance indicators, structure, leadership, practices and tools used in control programs are also presented. Securing funding for long-term control activities was a widespread problem. Control programs were reported to be successful in 16 (73%) of the 22 countries. Recommendations are made for future control programs, including a primary goal of establishing an international code for paratuberculosis, leading to universal acknowledgment of the principles and methods of control in relation to endemic and transboundary disease. An holistic approach across all ruminant livestock industries and long-term commitment is required for control of paratuberculosis.

Canadian National Dairy Study: Heifer calf management.

In the past decade, substantial changes have occurred in the way dairy heifer calves are managed. The objectives of this study, part of phase I of the 2015 Canadian National Dairy Study, were to examine heifer calf health and adoption of rearing practices, and to explore factors associated with different rearing strategies on Canadian dairy farms. The questionnaire was open to all licensed dairy producers in Canada and had a 12% response rate (n = 1,373). Fifty-one percent of respondents reported never allowing heifer calves to nurse their dam, and 17% always removed calves within 30 min of birth. Sixty-seven percent reported always feeding heifer calves 4 L of colostrum within 12 h of birth; 17% always fed colostrum between 2100 and 0400 h; 5% pasteurized all colostrum fed on farm. Seventy-seven percent of respondents reported calving and stillbirth information for 2014; the mean reported stillbirth rate was 4.9% (SD = 3.3). Forty percent housed calves in individual pens, 34% in group pens, 21% in individual hutches, 2% reported tethering calves, and 1% used group hutches. Of those who housed calves in groups, 59% reported a maximum group size of 3 to 10 calves, 31% reported a pair (2) of calves per pen or hutch, and 10% reported a group >10 calves. The maximum amount of milk offered to calves per day during the preweaned period was a mean of 8 L (SD = 3). Fifty percent of respondents reported mortality data for 2014; mean preweaning mortality was 6.4% (SD = 8.3), and postweaning mortality was 2.4% (SD = 4.4). Over 95% of producers reported disbudding practices; 86% used cautery, 11% used surgical amputation, and 9% used caustic paste. Twenty-eight percent reported disbudding at less than 3 wk of age, 60% at 3 to 8 wk, and 22% at 8 to 16 wk; 5% of respondents reported dehorning at more than 16 wk of age. Sixty-six percent of cautery users reported use of local anesthetic, 33% used sedation, and 25% used a nonsteroidal anti-inflammatory drug (NSAID). Multivariable regression models showed that the use of local anesthetic when disbudding calves was associated with social media activity (odds ratio = 2.3) and high-speed internet access (odds ratio = 2.0), whereas sedation was associated with geographic region, and NSAID use was associated with disbudding at more than 3 wk of age. Exploring heifer rearing management practices, including adoption of best practices, may help focus future education and extension efforts. Poor reporting of mortality data may reflect a lack of recordkeeping on farm.

A scoping review of the evidence for efficacy of acupuncture in companion animals.

Acupuncture has become increasingly popular in veterinary medicine. Within the scientific literature there is debate regarding its efficacy. Due to the complex nature of acupuncture, a scoping review was undertaken to identify and categorize the evidence related to acupuncture in companion animals (dogs, cats, and horses). Our search identified 843 relevant citations. Narrative reviews represented the largest proportion of studies (43%). We identified 179 experimental studies and 175 case reports/case series that examined the efficacy of acupuncture. Dogs were the most common subjects in the experimental trials. The most common indication for use was musculoskeletal conditions, and the most commonly evaluated outcome categories among experimental trials were pain and cardiovascular parameters. The limited number of controlled trials and the breadth of indications for use, outcome categories, and types of acupuncture evaluated present challenges for future systematic reviews or meta-analyses. There is a need for high-quality randomized controlled trials addressing the most common clinical uses of acupuncture, and using consistent and clinically relevant outcomes, to inform conclusions regarding the efficacy of acupuncture in companion animals.