Blood Lead Level Testing and Retesting Among Newly Arriving Refugee Children, Pennsylvania, 2015-2019.

Objectives. To (1) determine the prevalence of elevated blood lead levels (EBLLs; ≥ 5 µg/dL) among newly arrived refugee children, (2) understand the demographic characteristics of refugee children with EBLLs, and (3) assess health care providers' compliance with Centers for Disease Control and Prevention (CDC) recommendations for retesting. Methods. We matched refugee demographic data (2015-2019) from the CDC's Electronic Disease Notification (EDN) system with lead-testing laboratory report data from the Pennsylvania National Electronic Disease Surveillance System using Match*Pro software. Results. Of 3833 refugee children 16 years or younger in the EDN system, matching identified 3142 children with blood lead level data. Among children with blood lead level data, 578 (18.4%) had EBLLs. Among children with EBLLs, 341 (59.0%) were male. Of the 1370 children aged 6 years or younger with blood level test results, 335 (24.5%) had initial EBLLs, and only 78 (5.7%) were retested within 3 to 6 months. Of the 335 children 6 years or younger with an initial EBLL, only 44 (13.1%) were retested within 3 to 6 months. Conclusions. Following up on refugee children with EBLLs is necessary to ensure that they do not have continued lead exposure. (Am J Public Health. 2022;112(S7):S706-S714. https://doi.org/10.2105/AJPH.2022.306856).

Knowledge, attitudes, and practices of Florida physicians regarding dengue before and after an educational intervention.

BACKGROUND: Failure to recognize and appropriately manage dengue early in the clinical course may result in late initiation of supportive treatment for severe disease. In Florida, travel-related and autochthonous dengue occur and are likely under-recognized. The objective of this study was to evaluate physician knowledge of dengue and its management before and after an educational intervention in Florida. METHODS: From 2012-13 we conducted 14 grand-rounds style lectures on dengue clinical management attended by 413 physicians, and analyzed data from the pre- and post-tests. RESULTS: Of those attending, 231 and 220 completed the pre-and post-tests, respectively. Overall, the mean pre-test score for knowledge-based questions was 74.3 and average post-test score was 94.2%, indicating a mean increase of 19.9% (P < 0.0001, 95% CI 17.7-22.4). Reported confidence in dengue recognition and management also increased. Non-US trained physicians and those who had treated more than ten dengue cases performed significantly better in the pre-test. Post-test scores did not differ by subgroup. CONCLUSIONS: The train-the-trainer approach with grand-rounds style presentations appear to be an effective intervention to improve knowledge of dengue among physicians.

Effect of lameness on sow longevity.

OBJECTIVE: To analyze the association of lameness and performance variables on sow longevity by use of time-to-event analysis. DESIGN: Cohort study. ANIMALS: 674 sows from a commercial breeding herd. PROCEDURES: A lameness assessment was performed on each sow. Data on farrowing performance and longevity were collected for the sows during 3 or fewer parities from the database of the herd during 2005 and 2006. The association of risk factors with sow longevity within 350 days after lameness assessment was analyzed via Cox regression analysis. Pigs per day, total production days, and survival at 350 days after lameness evaluation were compared between lame and nonlame sows. RESULTS: Numbers of preweaning baby pig deaths, stillborn pigs, and mummified pigs were negatively associated with sow longevity within 350 days after lameness assessment. A higher number of pigs born alive and younger parity of sows were protective. Lame sows had a higher risk (1.710 times as high) of removal from the herd within 350 days after lameness assessment. The number of pigs born alive per day, survival of sows at 350 days, and total number of days in the herd were lower in lame sows. CONCLUSIONS AND CLINICAL RELEVANCE: Results of this study indicated significant differences in the survivability of lame and nonlame sows in a commercial herd. Parity and farrowing performance variables were factors influencing sow longevity in this herd. Producers need to minimize sow lameness and remove lame sows from a herd early (when treatment is not an option) to minimize economic loss.

Effect of group size and structure on the welfare and performance of pregnant sows in pens with electronic sow feeders.

Pregnant sows were housed in dynamic, twice-mixed, and static groups of different sizes in pens with electronic sow feeders (ESFs) to study the effect of group size and structure on sow welfare and performance. The total injury score (TIS) was significantly higher (P < 0.05) in the dynamic group than in the other groups in general and 2 wk after mixing. The salivary cortisol concentrations were similar in the 3 groups. The frequency of queuing was significantly higher (P < 0.05) in the twice-mixed group and the frequency of nonagonistic social interactions significantly lower (P < 0.05) in the dynamic group. The total number of aggressive acts was positively and significantly correlated (P < 0.05) with the frequency and duration of queuing in all the groups. Farrowing performance and longevity did not differ between the groups. The higher TIS and lower number of nonagonistic social interactions indicated that welfare was compromised in the dynamic group as compared with the other groups.

Evaluation of well-being, productivity, and longevity of pregnant sows housed in groups in pens with an electronic sow feeder or separately in gestation stalls.

OBJECTIVE: To compare well-being, performance, and longevity of gestating sows housed in stalls or in pens with an electronic sow feeder (ESF). ANIMALS: 382 pregnant sows of parities 1 through 6. PROCEDURE: Sows were housed in separate stalls (n = 176) or group pens (206) with an ESF. Well-being of sows was assessed at various time points in terms of injuries, salivary cortisol concentration, and behavior in a novel arena or to a novel object. Farrowing performance and longevity of sows were also assessed. RESULTS: Total injury scores (TIS) of sows in pens were significantly higher at initial introduction and mixing. In stall-housed sows, TIS was significantly higher during late gestation. The TIS and cortisol concentration were significantly lower in stall-housed sows, compared with values for sows in pens. As parity increased, the likelihood of higher median TIS decreased significantly in pen-housed sows and increased significantly in stall-housed sows. The TIS of sows in pens was negatively correlated with body weight and backfat thickness, whereas these correlations were positive in stall-housed sows. Farrowing performance and results for novel arena or objects did not differ. Proportion of sows removed was significantly higher for pens than for stalls; lameness was the major reason for removal for both systems. CONCLUSIONS AND CLINICAL RELEVANCE: Stalls impose space restrictions for larger sows, resulting in injuries during late gestation. Interventions are needed to minimize aggression during initial introduction and mixing and at the ESF in pens to reduce severe injuries or lameness of gestating sows.

Sow housing: opportunities, constraints, and unknowns.

As Webster has stated, we have real opportunities to provide incremental improvements to a whole range of welfare factors. We need a disciplined approach that takes into account the skills of farmers, veterinarians, and the whole range of other specialists involved in animal agriculture. Improvement is best based on a model of discovery, transparency, and dialogue. Combative models impede discovery and dialogue, and the animals are the most likely to suffer when we create such a scenario. Veterinarians have a real opportunity to aid swine farms in identifying opportunities and allowing for a transparent portrayal of activities on the farm.

Evaluation of patterns of removal and associations among culling because of lameness and sow productivity traits in swine breeding herds.

OBJECTIVE: To characterize patterns of removal and evaluate the associations among culling because of lameness and sow productivity traits among culled gilts and sows. DESIGN: Cross-sectional study. SAMPLE POPULATION: Data from a convenience sample of 11 farms pertaining to the removal of 51,795 gilts and sows from January 1991 to December 2002. Mean culling and mortality (death and euthanasia) rates for all inventoried gilts and sows ranged from 23% to 50% and 4.7% to 9.5%, respectively. PROCEDURE: An analysis of categories of removal (cull, death, or euthanasia) and reasons for removal of gilts and sows was performed. Multivariate logistic regression was used to determine associations among culling because of lameness and sow productivity traits among culled gilts and sows. RESULTS: Among sows that were removed, the proportion of parity > or = 1 sows that died (both death and euthanasia) was > 3 times the proportion of parity > or = 1 sows that were culled within 20 days after farrowing. Among lame sows that were removed, the proportion of parity > or = 1 sows that died (death and euthanasia) was higher than the proportion of parity > or = 1 sows that were culled within 20 days after farrowing. Among sows that were removed, the proportion of sows that died (deaths and euthanasia) was higher during lactation than nonlactation. This was also observed among lame sows that were removed. CONCLUSIONS AND CLINICAL RELEVANCE: The proportion of death among removed sows, especially lame sows, was higher during lactation than nonlactation. Results indicated that risk of death is not the same for sows throughout their lifetime.

Pain detection and amelioration in animals on the farm: issues and options.

Pain in nonhuman animals is a difficult concept to identify and measure. This article briefly describes the consequences of pain in animals on the farm and explains the reasons for the minimal use of analgesics in farmed animals. Pain can have implications for both animal welfare and economics. The reasons for a low use of analgesics in farmed animals include the lack of recognition of animal pain owing to the apparent lack of anthropomorphically identifiable behavioral changes, concern over human food safety, and lack of research efforts to develop safe analgesics for farm use. Treatment cost relative to the benefits expected is another hindering factor. Interventions to minimize pain must begin with developing objective and practical measures for pain identification and measurement at the farm level. A suggested use of a combination of different behavioral and physiological indicators would help to identify pain in animals. To facilitate continued usage of the methodologies on the farm it also is necessary to evaluate the economic implication of the pain alleviation intervention.

Evaluation of the relationship between injuries and size of gestation stalls relative to size of sows.

OBJECTIVE: To determine whether there is a relationship between sow injuries and size of gestation stalls relative to sow size. DESIGN: Prospective study. ANIMALS: 267 pregnant sows. PROCEDURE: Sows were randomly selected from 4 swine farms. Sow and stall measurements were obtained, and injuries were scored on the basis of location, number, and depth. Ratios of stall length to sow length and stall width to sow height were calculated. RESULTS: High injury scores were associated with low ratios of stall length to sow length and stall width to sow height. CONCLUSIONS AND CLINICAL RELEVANCE: A small increase in stall dimensions could reduce injuries and improve well-being of sows considerably.

Comparison of injuries in sows housed in gestation stalls versus group pens with electronic sow feeders.

OBJECTIVE: To compare the location and severity of injuries in pregnant sows housed in individual gestation stalls with that in pregnant sows housed in dynamic groups in pens with electronic sow feeders. DESIGN: Prospective study. ANIMALS: 100 pregnant sows of parity 1 to 3 and various body weights. PROCEDURE: Fifty sows each were randomly allotted to gestation stalls or group pens with electronic sow feeders. Injuries were scored on the basis of location, number, and depth of wounds. Injury scores for sows in both housing systems were compared during a period of 90 days. The influence of factors such as duration of stay in the housing system, parity, and body weight on sow injuries was also examined. RESULTS: Injury scores were higher in group pens with electronic sow feeders. As body weight increased, injury scores decreased for sows housed in group pens with electronic sow feeders and increased for sows housed in gestation stalls. There was a significant negative association between second parity and total injury scores. CONCLUSIONS AND CLINICAL RELEVANCE: Modifications in housing system design and management procedures are needed to reduce injuries in pregnant sows.