Randomized controlled field trial comparing quarter and cow level selective dry cow treatment using the California Mastitis Test.

Selective use of antibiotic dry cow treatment can be implemented at the cow or quarter level, with the latter having the potential to further reduce antibiotic use. Our objective was to compare these 2 approaches in 6 herds in the United Kingdom in which environmental mastitis predominated. Eight hundred seven cows were enrolled and categorized as having a high cell count (n = 401) or low cell count (n = 406) in the last 3 mo of lactation and clinical mastitis history. All quarters of all enrolled cows received an internal teat sealant. Within each category, cows were randomly allocated to 1 of 3 groups; in one group antibiotic treatment was allocated at cow level (i.e., all 4 quarters received antibiotic), whereas in the 2 remaining groups antibiotic treatment was allocated at quarter level, based on California Mastitis Test (CMT) findings. Two different thresholds, score 1 and 2, were used to determine likely infection status. Quarter milk samples were collected at dry off and postcalving for bacteriological culture and somatic cell count (SCC). Cows were monitored for clinical mastitis from dry off until 100 d in milk. Cow level SCC and milk yield data were collated from farm records. Within each category, the 2 quarter level treatment groups were compared with cow level treatment at dry off. Leaving quarters untreated with intramammary antibiotic in cows in the high cell count group, with a CMT <2 or <1, reduced antibiotic use by 55% and 31%, respectively, and resulted in no difference in the odds of being infected with any pathogen postcalving, but was associated with a higher SCC at the first test day. Intramammary antibiotic treatment of quarters with a CMT ≥1 in cows in the low cell count category at dry off was not associated with any reduction in the odds of being infected with a major pathogen postcalving but was associated with a decrease in the odds of being infected with a minor mastitis pathogen postcalving. The use of antibiotics in quarters of cows categorized as low cell count at dry off, increased the proportion of quarters treated with antibiotic from 0% at cow level to 31% (CMT ≥ 1) and 12% (CMT ≥ 2) at quarter level, only resulting in a reduction in SCC of around 20,000 cells/mL at the first test day, if all quarters with CMT score ≥1 were treated with antibiotic. No differences in clinical mastitis incidence and milk yield in the first 100 d in milk were detected between any of the treatment groups. These study findings support selective quarter level dry off treatment only in cows with cow level SCC >200,000 cells/mL at dry off.

Evaluating an intervention to reduce lameness in dairy cattle.

Lameness in dairy cattle remains a significant welfare concern for the UK dairy industry. Farms were recruited into a 3-yr study evaluating novel intervention approaches designed to encourage farmers to implement husbandry changes targeted toward reducing lameness. All farms completing the study were visited at least annually and received either monitoring only (MO, n=72) or monitoring and additional support (MS, n = 117) from the research team. The additional support included traditional technical advice on farm-specific solutions, facilitation techniques to encourage farmer participation, and application of social marketing principles to promote implementation of change. Lameness prevalence was lower in the MO (27.0 ± 1.94 SEM) and MS (21.4 ± 1.28) farms at the final visit compared with the same MO (38.9 ± 2.06) and MS (33.3 ± 1.76) farms on the initial visit. After accounting for initial lameness, intervention group status, and year of visit within a multilevel model, we observed an interaction between year and provision of support, with the reduction in lameness over time being greater in the MS group compared with the MO group. Farms in the MS group made a greater number of changes to their husbandry practices over the duration of the project (8.2 ± 0.39) compared with those farms in the MO group (6.5 ± 0.54). Because the lameness prevalence was lower in the MS group than the MO group at the start of the study, the contribution of the additional support was difficult to define. Lameness can be reduced on UK dairy farms although further work is needed to identify the optimum approaches.

Assessment of lameness prevalence and associated risk factors in dairy herds in England and Wales.

Visits were made to 205 dairy farms in England and Wales between October 2006 and May 2007 by 1 or more of 4 researchers. At each visit, all milking cows were locomotion scored (lameness scored) using a 4-point scale (0=sound locomotion, 1=imperfect locomotion, 2=lame, 3=severely lame). The mean prevalence of lameness (scores 2 and 3) across the study farms was 36.8% (range=0-79.2%). On each farm, the presence within the housing and grazing environments of commonly reported risks for increased lameness was recorded. Each farmer was interviewed to gauge the ability of the farm staff to detect and treat lameness. A multivariable linear regression model was fitted. Risk factors for increased lameness were the presence of damaged concrete in yards, cows pushing each other or turning sharply near the parlor entrance or exit, cattle grazing pasture also grazed by sheep, the use of automatic scrapers, not treating lame cows within 48h of detection, and cows being housed for 61 d or longer at the time they were locomotion scored by the visiting researcher. Having a herd consisting entirely of a breed or breeds other than Holstein-Friesian was associated with a reduction in lameness prevalence compared with having a herd consisting entirely of Holstein-Friesians.

Sampling strategies for monitoring lameness in dairy cattle.

Evaluating the prevalence of lameness within herds of dairy cattle is important for management and certification purposes; however, sampling strategies that could reduce the time taken for an assessment would be valuable. The prevalence of lame and severely lame cows on 224 United Kingdom dairy farms was available for analysis. Presence of more than 1 severely lame cow on a farm was a useful indication of a lameness problem. The vast majority (80%) of the 182 farms that had > or = 1 severely lame cow present had an overall lameness prevalence >25%, whereas only 24% of the 42 farms that had no severely lame cows had an overall prevalence >25%. Information was available on individual milking order through the parlor on the day of the lameness assessment. On 37 farms where cows were housed in a group, lameness prevalence was 11.9% greater in the last third compared with the first third of the milking order. For 36 herds that were larger than 100 cows, sampling a maximum of 100 cows from the middle of the milking order produced an estimate of prevalence within 5% of the true prevalence on 83% of farms. A reasonable sampling strategy may, therefore, be to observe up to 100 cows from the middle of the milking order. Also, presence of severely lame cows at the end of milking may be useful for identifying those farms likely to benefit from further support.

Assessing lameness in cows kept in tie-stalls.

Identifying lame cows and quantifying the prevalence of lameness are important elements of cattle welfare assessment that are generally achieved by methods involving observations of each animal walking. There is no published method for assessing lameness in cows confined in tie-stalls. The objective of this study (carried out within the European Commission's Welfare Quality(R) project) was to develop a suitable method and validate it for lameness detection against a published locomotion score. A series of indicators of lameness visible in tied cows was formalized into a stall assessment protocol. This was validated against a traditional locomotion score and tested for repeatability between 2 observers. A total of 98 cows on 4 farms were assessed. Overall interobserver agreement was 91%. Sensitivity compared with locomotion scoring was 0.54 to 0.77, dependent on observer and threshold definition. Assessment in the stall underestimated the herd prevalence of lameness revealed by locomotion scoring by 11 to 37% (mean 27%). The discrepancy between herd lameness prevalence assessed in the stall and by locomotion scoring was not affected significantly by farm or observer. The cases of lameness that were not detected in the stall tended to be the least severe. The proposed method for lameness detection in tie-stalls could be used for herd-level assessment of lameness and detection of individual lame animals by farmers and their advisors, but it is important to remember that it is less sensitive than locomotion scoring.

Use of domestic detergents in the California mastitis test for high somatic cell counts in milk.

The California mastitis test (CMT) is used on farms to identify subclinical mastitis by an indirect estimation of the somatic cell count (SCC) in milk. Four commercially available detergents were compared with a bespoke cmt fluid for their ability to detect milk samples with a scc above 200,000 cells/ml; differences between the interpretation of the results of the tests by eight operators were also investigated. The sensitivity and specificity of the test were affected by the type of detergent, and by the operators' interpretations. When used by the most sensitive operator, suitably diluted Fairy Liquid performed almost identically to cmt fluid in identifying milk samples with more than 200,000 cells/ml. The average sensitivities achieved by the eight operators for detecting this threshold were 82 per cent for Fairy Liquid and 84 per cent for cmt fluid, and the specificities were 93 and 91 per cent respectively. The other detergents contained less anionic surfactants and were less sensitive but similarly specific.

Survey of the incidence and aetiology of mastitis on dairy farms in England and Wales.

A survey of clinical and subclinical mastitis was carried out on 97 dairy farms in England and Wales, selected at random from members of a national milk recording scheme. The farmers were asked to collect aseptic milk samples from five consecutive cases of clinical mastitis and from five quarters with high somatic cell counts using a defined protocol, and they completed a questionnaire that included information on the cows sampled, the herd and the history of mastitis in the herd. The samples were collected throughout the year. The mean incidence of clinical mastitis was 47 cases per 100 cows per year (estimated from historic farm records) and 71 cases per 100 cows per year (estimated from the samples collected). Streptococcus uberis and Escherichia coli were isolated in pure culture from 23.5 per cent and 19.8 per cent, respectively, of the clinical samples; 26.5 per cent of the clinical samples produced no growth. The most common isolates from the samples with high cell counts were coagulase-negative staphylococci (15 per cent), S uberis (14 per cent) and Corynebacterium species (10 per cent). Staphylococcus aureus and coagulase-positive staphylococci together accounted for 10 per cent of the samples with high somatic cell counts; 39 per cent produced no bacterial growth.

National intervention study of mastitis control in dairy herds in England and Wales.

An intervention study was carried out on 52 dairy farms in England and Wales to determine whether the implementation of a well-specified mastitis control plan in herds with an incidence of clinical mastitis of more than 35 cases per 100 cows per year would reduce the incidence of clinical mastitis, and also reduce the incidence of increases in the somatic cell counts of individual cows. A clearly defined plan for the diagnosis and control of mastitis was developed by two veterinary specialists from the research literature. The herds were randomly allocated to receive the plan either at the start of the study (intervention herds) or after one year (control herds). Data on mastitis management and the farm environment were collected during farm visits. After one year there was a significant 22 per cent reduction in the proportion of cows affected with clinical mastitis on the intervention farms compared with the control farms. There were also significant reductions of approximately 20 per cent in the incidence of clinical mastitis and in the occurrence of increases in the somatic cell counts of individual cows from below, to above 200,000 cells/ml.

Effects of type of forage fed to dairy heifers: associations between claw characteristics, clinical lameness, environment and behaviour.

Heifers were reared separately on wet fermented (WF) (grass silage based) or dry unfermented (DU) (straw based) diets. Clinical lameness was recorded and physical claw attributes were measured regularly, up to six months after calving at approximately two years of age. Two months before calving, some aspects of animal behaviour and the properties of slurry were studied. The incidence of lameness due to claw horn lesions was significantly higher (P < 0.01) in WF than in DU. WF suffered more serious heel erosion prior to calving (P < 0.05) and had softer claw horn at two (heel and axial sole) out of five sites throughout (P < 0.01 and P < 0.05). The slurry produced by WF had lower total solids content (P < 0.05) and viscosity (P < 0.001). WF spent longer standing and feeding (P < 0.001). It is proposed that standing for longer in less viscous slurry contributed to softer claw horn and more severe heel erosion, predisposing WF to claw horn lesions causing lameness. Reducing contact with low dry matter slurry is recommended for improving claw health.

Effect of forage type on claw horn lesion development in dairy heifers.

In a continuous design study the claw health of 54 Holstein-Friesian heifer calves was recorded from three months of age until six months after first calving (30 months of age). Pre-calving heifers were either fed a wet, fermented grass silage-based diet (WF) or a dry, unfermented straw and concentrate based diet (DU), apart from grazing during their first summer. Approximately one month before calving both groups were fed a silage-based diet and afterwards all received a silage and concentrate lactation ration. Claws were examined four times during rearing, once pre-calving, and four times during lactation. Both white line and sole lesions were significantly worse for WF than DU both during rearing and throughout first lactation although the effect was not as consistent over time for white line lesions. It is concluded that for optimal claw health youngstock diets should not be heavily based on wet grass silage (less than 25% DM).

Claw lesions in dairy cattle: methods for assessment of sole and white line lesions.

Claw lesions are a major cause of lameness in dairy cattle. Analysis of the development of lesions is aided by numerical representation of their significance. Using data from observations on 31 heifers at 9 weeks post-calving, 5 lesion scoring method were compared. These were: (1) number of lesions; (2) severity; (3) adjusted severity; (4) size (measured by a novel technique involving image analysis of distal view photographs) and (5) size multiplied by adjusted severity (combined score). Relationships between scores for sole and white line lesions and between different claws within a cow were investigated. The small size but high clinical significance of severe lesions means that severity must be weighted if combined with size in a score. Sole and white line lesions showed a moderate but significant correlation in terms of severity but none in terms of size. The highest correlation between scores for a single claw (the right hind outer) and the remaining claws was found for adjusted severity of sole lesions.

Claw lesions in dairy cattle: development of sole and white line haemorrhages during the first lactation.

The development of claw haemorrhages was monitored in first-calving dairy heifers from 4 weeks before calving to 32 weeks after calving. Before calving, lesions were few but the number, extent and severity of claw haemorrhages increased following simultaneous calving and housing. Lesions were most severe in the white line at 9 weeks, and in the sole at 14 weeks, but recovery began while the animals were still housed. That the increase in white line lesions after calving, and the subsequent recovery preceded that of the sole, suggests that the pathogenesis of the lesions may differ in these two anatomical regions. It is proposed that an initial insult to the corium primarily affects the laminar region and that corium damage increases with the resulting alteration in the physical forces on the sole.

Investigating the value dairy farmers place on a reduction of lameness in their herds using a willingness to pay approach.

A survey was conducted to elicit dairy farmers' willingness to pay (WTP) to reduce the prevalence of lameness in their herds. A choice experiment questionnaire was administered using face-to-face interviews of 163 farmers in England and Wales. Whole herd lameness assessments by trained researchers recorded a mean lameness prevalence of nearly 24% which was substantially higher than that estimated by farmers. Farmers' responses to a series of attitudinal questions showed that they strongly agreed that cows can suffer a lot of pain from lameness and believed that they could reduce lameness in their herds. Farmers' mean WTP to avoid lameness amounted to UK£411 per lame cow but with considerable variation across the sample. Median WTP of UK£249 per lame cow was considered a better measure of central tendency for the sample. In addition, the survey found that farmers had a substantial WTP to avoid the inconvenience associated with lameness control (a median value of UK£97 per lame cow) but that they were generally prepared to incur greater inconvenience if it reduced lameness. The study findings suggest that farmers need a better understanding of the scale and costs of lameness in their herds and the benefits of control. To encourage action, farmers need to be convinced that lameness control measures perceived as inconvenient will be cost effective.

Reducing lameness in dairy herds--overcoming some barriers.

Incomplete detection, high tolerance of lameness, and shortage of time and labour have been identified as barriers to reducing lameness in dairy herds. The effects of farmer participation in a project aimed at reducing lameness in dairy cattle on these factors were investigated. Over the course of the project farmers' detection of lameness improved and tolerance decreased. On farms entering the study with lameness prevalence below the median of 35%, improved detection was correlated with a reduction in lameness prevalence, but this was not the case for farms entering above the median prevalence. Lowered tolerance of lameness was correlated with reduced lameness regardless of initial prevalence. A greater importance given to lack of time as an initial barrier to progress was correlated with a greater reduction in lameness over the course of the project, suggesting that farmers who recognised limited time as a barrier were able to overcome this to some extent.

An investigation into the use of infrared thermography (IRT) as a rapid diagnostic tool for foot lesions in dairy cattle.

Previous research has suggested that temperature at the coronary band increases in the presence of claw horn lesions in dairy cattle. However the reliability of using infrared thermography (IRT) as a method of distinguishing between lesions has not been investigated. The objective of this study was to examine the potential of IRT as a non-invasive tool for rapidly screening for the presence of digital dermatitis (DD). Eighty-two cows which either had no skin lesions on the hind feet (controls, n=41 feet) or a DD lesion on one or both feet were selected during milking. Following selection, each cow was moved into the farm crush where thermal images were taken from the plantar aspect of each foot at the pastern when the foot was dirty, cleaned and raised for visual inspection. Following recording of thermal images each hind foot was trimmed and the presence of any lesion recorded. It was found that the temperature did not differ significantly between feet with DD lesions and other skin or claw horn lesions, regardless of whether the feet were dirty, clean or raised for inspection. As IRT was not sensitive enough for lesion specific detection, the reliability of setting a temperature threshold above which any type of lesion causing lameness could be detected was investigated. The optimal trade off between sensitivity and specificity could be reached without having to either clean or lift the feet. Setting the threshold for disease at 27°C for dirty feet identified 80% of feet with lesions and 73% of feet without lesions correctly. In conclusion, IRT was reliable in detecting elevated temperature associated with foot lesions. Future research investigating the development of lesions may identify a temperature threshold for early treatment intervention. This technique may also be useful to quantify the effectiveness of early treatment by tracking recovery and recurrence of cases.

Promoting farmer engagement and activity in the control of dairy cattle lameness.

Many 'influencers' allied to the agricultural industry support farmers to implement management changes that affect animal welfare. Developing approaches to working with farmers that achieve both engagement and subsequently management changes is critical. As an example, the generation of action points and implementation of change to control dairy cattle lameness is reported and discussed here. Action plans were generated on farms receiving both lameness monitoring and intervention support (MS group; n=117) as part of a 3 year intervention project. At the start of year 1, MS farmers received action planning advice from a veterinary surgeon, and then at the start of years 2 and 3, farmers generated their own lameness control action plans with facilitator support. Engagement was achieved with 114 MS farmers who generated 692 action points in total. Two hundred and sixteen of these resulted from veterinary advice and 476 were generated by the farmers with facilitator support. In terms of activity, MS farms implemented a mean of 8.22 changes per farm as compared to 6.77 on farms which only received annual lameness monitoring (MO group; n=72). While these levels of change were similar, fewer changes implemented on the MS farms (8.5%) were judged 'likely to increase the risk of lameness' compared to the MO farms (16.5%). Farmers generated substantial numbers of lameness control action points for their own farms aided by a facilitator and, crucially, veterinary or facilitator involvement reduced changes that were likely to compromise lameness control.

The reliability of detecting digital dermatitis in the milking parlour.

Digital dermatitis (DD) is currently the most problematic infectious skin disease in dairy cattle associated with lameness. Reducing the disease prevalence through early detection and treatment is an essential management tool. The traditional detection method involves lifting and inspecting the feet in a cattle crush, but this is a time intensive and costly practice and impractical for regular detection of individual cases or monitoring herd prevalence. This study aimed to establish the accuracy of detecting and classifying DD lesions in traditional (pit) milking parlours compared with a borescope, and a gold standard lifted foot inspection. With the exception of one lesion, parlour screening was as accurate as the lifted foot inspection in determining the presence of 86 DD lesions on 160 hind feet (99% agreement; κ 0.99; sensitivity 1.00; specificity 0.99). Describing lesions by colour, depth or stage of lesion in the parlour or using the borescope reached substantial agreement with the gold standard. The stage of lesion was closely linked to colour and depth descriptors. There was greater agreement when categorising more advanced stages of disease progression. Borescope and parlour inspections led to both over and under recording of actual size, particularly in smaller lesions. Screening cows in traditional milking parlours for the presence of DD was found to be an accurate and practical means of detecting lesions. This method should be considered for on farm use to evaluate DD prevention and treatment strategies.

The effects of early treatment for hindlimb lameness in dairy cows on four commercial UK farms.

An 'early threshold' protocol for treating cows within 48 h of being detected lame in one or more hind limbs at fortnightly mobility scoring was tested on a randomly selected group of cattle on four commercial dairy farms. The outcomes of the early threshold treatment for first cases of lameness were compared with those of the farmers' conventional approach to treatment. The early threshold schedule resulted in a much shorter time to treatment than the conventional approach, for which the median time from the cow first being scored lame to treatment was 65 days. The early threshold group presented with less severe foot lesions and cattle were less likely to be selected for further treatments by the farmer than conventionally treated cows. Early threshold treatment reduced the prevalence of lameness 4 weeks after treatment, compared with controls. A clear effect of the early treatment on milk yield was not detected.

Working towards a reduction in cattle lameness: 1. Understanding barriers to lameness control on dairy farms.

On 222 dairy farms, the farmer's perception of the scale of the herd lameness problem was compared with the prevalence detected by observation of the milking herd, and a questionnaire explored the barriers to lameness reduction. Ninety percent of farmers did not perceive lameness to be a major problem on their farm, although the average prevalence of lameness was 36%. For 62% of the sample, lameness was not the top priority for efforts made to improve herd health. Time and labour were important limiting factors for lameness control activities and financial constraints prevented farmers taking action on advice in 30% of cases. Farmers' understanding the implications of lameness for the farm business was limited. Lameness reduction is restricted by farmers' perception of lameness, but also by time, labour and finance; these issues need to be addressed at the industry level to support animal welfare improvement.

Working towards a reduction in cattle lameness: 2. Understanding dairy farmers' motivations.

Reducing lameness in dairy herds requires farmers to adapt or change existing practices or resources. Those who seek to improve animal welfare by influencing the actions of farmers need to understand farmers' motivations. To investigate why farmers see lameness as a problem and what motivates their efforts to reduce lameness, a questionnaire was carried out with 222 UK dairy farmers. Farmers considered pain and suffering for the cows to be an important outcome of lameness, but reduced performance by lame cows was also seen as a considerable problem. The motivator most commonly given high importance was pride in a healthy herd. Factors incorporating accreditation issues, public image and costs of treatment were generally seen to be of some, but lesser importance. Advisors need to take all these areas into consideration when working to encourage farmers to act to reduce lameness and thereby improve animal welfare.