An economic assessment of alternative antimicrobial use scenarios on pig farms.

This paper explores the theoretical economic outcome of management changes that result in different levels of antimicrobial use (AMU) in two types of UK pig farm. A static farm economic pig production model (FEPM) was used on a representative 'Top-third' most profitable farm and a representative 'Mid-range' profitable farm. Three AMU theoretical management scenarios were investigated; (a) management changes leading to a reduction of AMU by 35% (AMU35); (b) more extensive management changes leading to a reduction of AMU by 95% (AMU95); and (c) implementing depopulation of the herd (AMU Depop). A sensitivity analysis was conducted to determine the effect of increases or decreases in pig revenue and feed price on farm gross margin under these scenarios. Over a single year, the AMU35 scenario was estimated to have a small positive impact (+3%) on both farm types. The other two AMU reduction scenarios had higher AMU reduction on farms but required higher variable cost and hence they resulted in lower farm profitability. There was a substantial reduction (up to -50%) in farm gross margin under these two AMU reduction scenarios in the modeled short-term time-period. The impact of the alternative AMU scenarios was slightly higher on a farm representing the 'Top-third' farm type, reducing farm gross margin further by 7% compared to the 'Mid-range' farm. Nevertheless, both farm types stay profitable under all three AMU scenarios. The results showed that in the modeled short-term implementing management changes that result in a reduction of on-farm AMU by 35% had a good economic outcome. In practice, the other two scenarios would be considered as longer-term strategies. Although both require higher initial costs to implement, the improved biosecurity and hygiene will benefit from lower disease occurrence for a longer term. Farm gross margins were, however, found to be highly sensitive to changes on market prices especially increasing feed prices. An increase of more than 15% in feed price moved a profitable farm into a loss-making farm. It will be economically challenging for uptakes of these, or similar, AMU reduction scenarios on farms if the market prices become un-favorable to pig farmers.

Helicobacter suis Is Associated With Mortality in Parkinson's Disease.

Helicobacter pylori has been implicated in the pathogenesis of Parkinson's disease (PD). Its eradication, in a randomized placebo-controlled trial, improved PD hypokinesia. Helicobacter species zoonosis might explain excess mortality from PD and non-Hodgkin lymphoma in livestock, but not arable, farmers. Indeed, Helicobacter is causally-associated with gastric lymphoma. We have previously shown that the relative-frequency, H. suis to H. pylori, was 10-times greater in 60 PD-patients than in 256 controls. We now go on to evaluate the pathological significance of H. suis, detected in gastric-biopsy DNA-extracts by ureA-based species-specific qPCR, validated by amplicon sequencing. The methodology had been cross-validated by a carR-based PCR. The pathological significance is put in context of H. pylori detection [urea-breath-test (UBT) with biopsy-culture, and, if negative, PCR], and the potential reservoir in pigs. Here, we explore, in these 60 PD-patients, associations of H. suis status with all-cause-mortality, and with orthostatic cardiovascular and blood profiling. H. suis had been detected in 19 of the 60 PD-patients on one or more occasion, only two (with co-existent H. pylori) being UBT positive. We found that the hazard-of-death (age-at-diagnosis- and gender-adjusted) was 12 (95% CI 1,103) times greater (likelihood-ratio test, P = 0.005) with H. suis-positivity (6/19) than with negativity (2/40: one lost to follow-up). UBT-values did not influence the hazard. H. suis-positivity was associated with lower standing mean-arterial-pressure [6 (1, 11) mmHg], H. pylori-positivity having no effect. The lower total lymphocyte count with H. pylori-positivity [-8 (-1, -14) %] was not seen with H. suis, where T-cell counts were higher [24 (2, 52) %]. Regarding the potential zoonotic reservoir in the UK, Helicobacter-like-organism frequency was determined in freshly-slaughtered pigs, nature ascertained by sequencing. Organisms immunostaining for Helicobacter, with corkscrew morphology typical of non-H. pylori Helicobacter, were seen in 47% of 111 pig-antra. We conclude that H. suis is associated with all-cause-mortality in PD and has a potential zoonotic reservoir.

Exposure to environmental stressors result in increased viral load and further reduction of production parameters in pigs experimentally infected with PCV2b.

Porcine circovirus type 2 (PCV2) has been identified as the essential, but not sole, underlying infectious component for PCV-associated diseases (PCVAD). Several co-factors have been suggested to convert an infection with PCV2 into the clinical signs of PCVAD, including co-infection with a secondary pathogen and the genetic background of the pig. In the present study, we investigated the role of environmental stressors in the form of changes in environmental temperature and increased stocking-density on viral load in serum and tissue, average daily weight gain (ADG) and food conversion rate (FCR) of pigs experimentally infected with a defined PCV2b strain over an eight week period. These stressors were identified recently as risk factors leading to the occurrence of severe PCVAD on a farm level. In the current study, PCV2-free pigs were housed in separate, environmentally controlled rooms, and the experiment was performed in a 2×2 factorial design. In general, PCV2b infection reduced ADG and increased FCR, and these were further impacted on by the environmental stressors. Furthermore, all stressors led to an increased viral load in serum and tissue as assessed by qPCR, although levels did not reach statistical significance. Our data suggest that there is no need for an additional pathogen to develop PCVAD in conventional status pigs, and growth retardation and clinical signs can be induced in PCV2 infected pigs that are exposed to environmental stressors alone.

Risk factors of lameness in sows in England.

Lameness in pigs is a major welfare concern and one of the most commonly reported reasons for premature culling of breeding sows. In this study, the prevalence of lameness in sows was estimated using data from 76 pig breeding units in England and risk factors associated with the occurrence of lameness were examined. The prevalence of lameness in sows was 4.5% (farm median 5.0%, range 0-40%), with at least one lame sow being observed at 54% of the 76 farms. Relative risk (RR) of lameness was determined by multivariable Poisson regression analysis. Farms with high producing sows had a lower rate of lame sows than farms with a medium level of production (P=0.01). However, medium levels of production on a farm were associated with higher levels of lameness than farms having the lowest level of production (P=0.02). Farms where the stockman had responsibility for more sows resulted in an increased risk of lameness (P=0.0062). When indoor units were considered, the area of the pen and younger sows (two parities or less) had higher risk of lameness (P=0.001 and P=0.026 respectively). An increased awareness of the risk factors behind lameness is essential in farm management and can be useful when designing housing areas as well as developing future prevention plans for lameness.

Effectiveness of porcine circovirus type 2 vaccination in reducing the severity of post-weaning multisystemic wasting syndrome in pigs.

Changes in the severity of post-weaning multisystemic wasting syndrome (PMWS) and the effect of vaccination against porcine circovirus type 2 (PCV2) on the severity of PMWS and the prevalence of PCV2 were assessed on 50 English pig farms from 2008 to 2010. PMWS severity on farms before and after PCV2 vaccination was estimated by combining data on post-weaning mortality, morbidity and proportion of pigs positive for PCV2 by PCR. At the first visit (before vaccination), all 50 farms were seropositive for PCV2 and 90% of farms were positive for PCV2 by PCR. At the second visit (331-539 days after the first visit), all 50 farms remained seropositive for PCV2 and 28/50 (56%) were positive for PCV2 by PCR, representing 16/36 (44.4%) farms that vaccinated against PCV2 and 12/14 (85.7%) farms that did not. There was a reduction of ~50% in mean PMWS score on farms that vaccinated and were initially moderately or highly PMWS affected. Vaccination against PCV2 reduced the severity of PMWS, even though PCV2 persisted on 44% of farms after vaccination.

Farm level risk factors associated with severity of post-weaning multi-systemic wasting syndrome.

A cross-sectional study involving 147 pig farms across England was conducted in 2008-2009. Farm severity of post-weaning multi-systemic wasting syndrome (PMWS) was estimated through the use of an algorithm that combined data on post-weaning mortality, PMWS morbidity and proportion of porcine circovirus type 2 PCR positive pigs. Farms were classified as non/slightly, moderately or highly affected by PMWS. Data on potential PMWS risk factors were collected through interviews, on-farm assessment and serological sampling. Risk factors were identified using multivariable ordinal logistic regression and multivariable linear regression. Factors associated with increased PMWS severity were rearing growers indoors (OR=23.7), requiring a higher number of veterinarian visits per year (OR=9.6), having poorly isolated hospital pens (OR=6.4), buying replacement boars (OR=4.8) and seropositivity to Mycoplasma hyopneumoniae (OR=4.29); factors associated with decreased PMWS severity were low stocking density for growers (OR=0.07), adjusting diets at least three times between weaning and 14 weeks of age (OR=0.12), and requiring visitors to be at least 2 days pig free (OR=0.14). This study provides evidence of the association between environmental and management factors and PMWS severity, and suggests that other pathogens may be important co-factors for the disease. In addition, this study highlights the potential efficacy of biosecurity measures in the reduction/prevention of within-farm PMWS severity.

Assessment and quantification of post-weaning multi-systemic wasting syndrome severity at farm level.

Post-weaning multi-systemic wasting syndrome (PMWS) causes major economic losses for the English pig industry and severity of clinical signs and economic impact vary considerably between affected farms. We present here a novel approach to quantify severity of PMWS based on morbidity and mortality data and presence of porcine circovirus type 2 (PCV2). In 2008-2009, 147 pig farms across England, non-vaccinating for PCV2, were enrolled in a cross-sectional study. Factor analysis was used to generate variables representing biologically meaningful aspects of variation among qualitative and quantitative morbidity variables. Together with other known variables linked to PMWS, the resulting factors were included in a principal component analysis (PCA) to derive an algorithm for PMWS severity. Factor analysis resulted in two factors: Morbidity Factor 1 (MF1) representing mainly weaner and grower morbidity, and Morbidity Factor 2 (MF2) which mainly reflects variation in finisher morbidity. This indicates that farms either had high morbidity mainly in weaners/growers or mainly in finishers. Subsequent PCA resulted in the extraction of one component representing variation in MF1, post-weaning mortality and percentage of PCV2 PCR positive animals. Component scores were normalised to a value range from 0 to 10 and farms classified into: non or slightly affected farms with a score <4, moderately affected farms with scores 4-6.5 and highly affected farms with a score >6.5. The identified farm level PMWS severities will be used to identify risk factors related to these, to assess the efficacy of PCV2 vaccination and investigating the economic impact of potential control measures.

Pig welfare assessment: development of a protocol and its use by veterinary undergraduates.

A new approach to teaching welfare assessment is described and has been used with two cohorts of first-year veterinary undergraduates (totaling 515 students). The welfare assessment protocol was devised and trialed using pigs as an exemplar, but its principles are applicable to other species. A robust learning scheme was created, comprising didactic teaching, interactive seminars, practical hands-on training, and computer-based learning. Practical training included a formative virtual assessment of clinical signs of health and welfare using Questionmark Perception, which improved the students' performance significantly. Validation studies are being carried out to establish if acceptable levels of inter-observer variability can be achieved by students conducting on-farm assessments of pig welfare during their extramural studies program. The resulting assessments of welfare will be analyzed in a cross-sectional epidemiological study to identify risk factors for good and poor welfare, and the results will be fed back to participating farmers. This new approach enables veterinary students to learn key transferable skills in the early stages of their education and provides a strong grounding in a holistic approach to animal welfare.

Value and benefits of open-book examinations as assessment for deep learning in a post-graduate animal health course.

This study provides an overview of the perceptions of alumni in relation to their experience of open-book examinations (OBEs) as post-graduate students. This type of assessment was introduced as a way of allowing these adult learners to demonstrate their conceptual understanding and ability to apply knowledge in practice, which in theory would equip them with problem-solving skills required for the workplace. This study demonstrates that alumni-shown to be predominantly deep learners-typically regarded OBEs as less stressful than closed-book examinations, and as an effective way to assess the application of knowledge to real-life problems. Additional staff training and student induction, particularly for international students, are suggested as a means of improving the acceptability and effectiveness of OBEs.