Construction of a conceptual framework for assessment of health-related quality of life in calves with respiratory disease.

Bovine respiratory disease (BRD) is one of the most prevalent diseases affecting beef and dairy calves worldwide, with implications for lifetime productivity, antimicrobial use and animal welfare. Our objective was to construct a conceptual framework for assessment of health-related quality of life (HRQL) in calves with respiratory disease, based on indicators suitable for direct pen-side visual observation. Health-related quality of life measures aim to evaluate the subjective experience of the animal rather than any related pathology. A conceptual framework graphically represents the concepts to be measured and the potential relationships between them. A multistage, mixed method approach involving diverse data sources, collection methods and stakeholders was applied to promote comprehensiveness, understanding and validity of findings. A scoping review was conducted to identify, characterize and collate evidence of behavioural indicators of BRD. The indicators identified were mapped against the principal attributes of five prominent animal welfare assessment frameworks to appraise their correspondence with different characterizations of the dimensions of welfare. Forty-two semi-structured, individual, qualitative interviews with a purposeful sample of experienced veterinarians and stockpersons from UK, USA and Canada elicited in-depth descriptions of the visual observations of HRQL they make in diagnosing and assessing the response to treatment of calves with BRD. Verbatim interview transcripts were examined using inductive thematic analysis. Respondents provided insights and understanding of indicators of HRQL in BRD such as interaction with feed source, hair coat condition, specific characteristics of eye appearance, eye contact, rumen fill and stretching (pandiculation). In an on-farm pilot study to assess the value of potential HRQL behavioural indicators, there was a moderate positive correlation between behaviour and clinical scores (rs = 0.59) across the 5 days preceding veterinary treatment for BRD. Interestingly, the behaviours evaluated were observed a median of 1.0 (interquartile range: 1.0-3.5) days before clinical indicators used in the scoring system. The proposed conceptual framework for assessment of HRQL features 23 putative indicators of HRQL distributed across two interrelated domains - clinical signs and behavioural expressions of emotional well-being. It has potential applications to inform the development of new HRQL measures such as structured questionnaires and automated sensor technologies.

'Would it sell more pork?' Pig farmers' perceptions of Real Welfare, the welfare outcome component of their farm assurance scheme.

In the UK, the pig industry is leading the way in the adoption of welfare outcome measures as part of their farm assurance scheme. The welfare outcome assessment (WOA), known as Real Welfare, is conducted by the farmers' own veterinary surgeon. For the first time, this has allowed the pig industry to evaluate welfare by directly assessing the animal itself and to document the welfare of the UK pig industry as a whole. Farmer perspectives of the addition of a welfare outcome assessment to their farm assurance scheme have yet to be explored. Here, we investigate how the introduction of the Real Welfare protocol has been perceived by the farmers involved, what value it has (if any), whether any practical changes on farm have been a direct consequence of Real Welfare and ultimately whether they consider that the welfare of their pigs has been improved by the introduction of the Real Welfare protocol. Semi-structured interviews with 15 English pig farmers were conducted to explore their perceptions and experiences of the Real Welfare process. Our findings fall into three key areas: the lived experience of Real Welfare, on-farm changes resulting from Real Welfare and suggested improvements to the Real Welfare process as it currently stands. In all the three areas, the value farmers placed on the addition of WOA appeared to reflect their veterinary surgeon's attitude towards the Real Welfare protocol. If the vet was engaged in the process and actively included the farmer, for example through discussion of their findings, the farmers interviewed had a greater appreciation of the benefits of Real Welfare themselves. It is recommended that future similar schemes should work with veterinary surgeons to ensure their understanding and engagement with the process, as well as identifying and promoting how the scheme will practically benefit individual farmers rather than assuming that they will be motivated to engage for the good of the industry alone. Retailers should be encouraged to use Real Welfare as a marketing tool for pig products to enhance the perceived commercial value of this protocol to farmers.

Participatory Policy Making by Dairy Producers to Reduce Anti-Microbial use on Farms.

Pressures for more responsible use of anti-microbial (AM) medicines in food animals are likely to increase from policymakers and the food industry, including retailers. To address this challenge, participatory approaches to welfare interventions and disease prevention may also be necessary alongside more conventional regulatory measures. This article describes the process of enabling groups of dairy producers to use a participatory policy making approach to develop an AM stewardship policy. The policy includes measures agreed to by all producers for more responsible use of AMs, whilst maintaining or improving dairy herd health and welfare. This process provided a unique opportunity for collaboration and dialogue between producers, veterinarians, industry and researchers. Its participatory nature encouraged comprehensive learning for all involved. This integration of science with producers' knowledge and experience led to credible and practical recommendations designed to deliver real and lasting change in AM use. The multidisciplinary nature of this research marks a significant contribution to embedding social science skills and approaches into the veterinary sphere. As an initial step in creating better understanding of how participatory approaches with farmers can be applied in a UK context and more widely, this work serves as a pilot for promoting more responsible use of veterinary medicines in other livestock species.

Assessment of unnecessary suffering in animals by veterinary experts.

Veterinary surgeons are often asked to provide reports to courts describing factual observations and their expert opinion on the presence or absence of unnecessary suffering in animals. This study reviewed 42 expert witness reports in order to describe the approach taken to the assessment of unnecessary suffering. While most reports suitably described factual observations, there was significant variation in the opinions on suffering and the actions of the owner. Severity and duration of potential suffering was commented upon in 26 and 29 reports, respectively. Experts used terms associated with negative mental states and physical states in 28 and 27 reports, respectively. The necessity of suffering was commented upon in 27 reports, with minimal commentary on the actions of the owner. External references supporting the opinion of the expert were only provided in 13 reports. There was evidence of disputes between experts concerning the definition of suffering, the significance of clinical findings and the relevance of different assessment methods. It is suggested that expert witness reports should include a systematic consideration of the animal's mental and physical states, severity of harm, duration of harm and a commentary on the necessity of suffering as defined by legislation.

Sequential sampling: a novel method in farm animal welfare assessment.

Lameness in dairy cows is an important welfare issue. As part of a welfare assessment, herd level lameness prevalence can be estimated from scoring a sample of animals, where higher levels of accuracy are associated with larger sample sizes. As the financial cost is related to the number of cows sampled, smaller samples are preferred. Sequential sampling schemes have been used for informing decision making in clinical trials. Sequential sampling involves taking samples in stages, where sampling can stop early depending on the estimated lameness prevalence. When welfare assessment is used for a pass/fail decision, a similar approach could be applied to reduce the overall sample size. The sampling schemes proposed here apply the principles of sequential sampling within a diagnostic testing framework. This study develops three sequential sampling schemes of increasing complexity to classify 80 fully assessed UK dairy farms, each with known lameness prevalence. Using the Welfare Quality herd-size-based sampling scheme, the first 'basic' scheme involves two sampling events. At the first sampling event half the Welfare Quality sample size is drawn, and then depending on the outcome, sampling either stops or is continued and the same number of animals is sampled again. In the second 'cautious' scheme, an adaptation is made to ensure that correctly classifying a farm as 'bad' is done with greater certainty. The third scheme is the only scheme to go beyond lameness as a binary measure and investigates the potential for increasing accuracy by incorporating the number of severely lame cows into the decision. The three schemes are evaluated with respect to accuracy and average sample size by running 100 000 simulations for each scheme, and a comparison is made with the fixed size Welfare Quality herd-size-based sampling scheme. All three schemes performed almost as well as the fixed size scheme but with much smaller average sample sizes. For the third scheme, an overall association between lameness prevalence and the proportion of lame cows that were severely lame on a farm was found. However, as this association was found to not be consistent across all farms, the sampling scheme did not prove to be as useful as expected. The preferred scheme was therefore the 'cautious' scheme for which a sampling protocol has also been developed.

Infrared thermometry for lesion monitoring in cattle lameness.

Infrared thermometry is a non-invasive tool shown to be useful in detecting claw abnormalities in cattle at an individual and herd level. This study used the technology to monitor foot temperature and investigate the association with lesion presence over time. A 990 cow dairy herd was enrolled and followed for six months, with data collection fortnightly, lesions were identified by examination of any cow with a mobility score >2, using the 0-3 scale. Two level, multilevel analysis of the association between ambient temperature and foot temperature found that the former was a significant predictor of the latter (coefficient estimate (se)=0.277 (0.02)). Actual foot temperatures were calculated by adjusting for this covariate to allow monitoring over time. Presence of a lesion was also found to be a significant predictor of foot temperature (coefficient estimate (se)=0.623 (0.19)), when added to the model, furthermore some lesion types, claw horn and multiple lesions, were found to be associated with differential foot temperatures. When monitoring lesions over time, the mean adjusted foot temperature was highest at the point of lesion identification. A marked drop in temperature then followed after the lesion was trimmed, with the lowest mean temperature recorded six weeks after treatment, significantly different from the point of lesion identification (P=0.003). This temperature was also lower than the six weeks prior to diagnosis of the lesion, suggesting inflammation was present for at least six weeks prior to the behavioural sign of lameness was seen.

Navigating the iceberg: reducing the number of parameters within the Welfare Quality(®) assessment protocol for dairy cows.

The Welfare Quality(®) protocols provide a multidimensional assessment of welfare, which is lengthy, and hence limited in terms of practicality. The aim of this study was to investigate potential 'iceberg indicators' which could reliably predict the overall classification as a means of reducing the length of time for an assessment and so increase the feasibility of the Welfare Quality(®) protocol as a multidimensional assessment of welfare. Full Welfare Quality(®) assessments were carried out on 92 dairy farms in England and Wales. The farms were all classified as Acceptable or Enhanced. Logistic regression models with cross validation were used to compare model fit for the overall classification on farms. 'Absence of prolonged thirst', on its own, was found to correctly classify farms 88% of the time. More generally, the inclusion of more measures in the models was not associated with greater predictive ability for the overall classification. Absence of prolonged thirst could thus, in theory, be considered to be an iceberg indicator for the Welfare Quality(®) protocol, and could reduce the length of time for a farm assessment to 15 min. Previous work has shown that the parameters within the Welfare Quality(®) protocol are important and relevant for welfare assessment. However, it is argued that the credibility of the published aggregation system is compromised by the finding that one resource measure (Absence of prolonged thirst) is a major driver for the overall classification. It is therefore suggested that the prominence of Absence of prolonged thirst in this role may be better understood as an unintended consequence of the published measure aggregation system rather than as reflecting a realistic iceberg indicator.

Measuring the response to therapeutic foot trimming in dairy cows with fortnightly lameness scoring.

Lameness scoring (0-3) was carried out on four UK dairy farms during the housing period over three consecutive years (2010-2012). At the start of the study cows were matched by parity and stage of lactation and randomly allocated into a treatment (TX) and a control (CX) group. Cows were enrolled when two sound scores (0 or 1) were followed by a lame score (2). Farmers were immediately notified of score 3 cows, which were then excluded from the study, irrespective of whether they were in treatment or control groups. The animals in the TX group received treatment 3-48 h after being scored lame. Farmers remained blind to the treatment group. Throughout the study the participating farmers continued to identify and treat lame cows according to their usual approaches, this included treating animals in the CX or TX group if they so chose. The fortnightly lameness scoring and treatment of the TX group resulted in higher cure rates at each scoring session following treatment when compared with the CX group (P < 0.001). Two weeks after inclusion, 78% (SE ± 3.2) of TX cows were sound, compared with 66% (SE ± 3.1) of CX cows. At 18 weeks following initial recruitment this had fallen to 41% (SE ± 6.3) (TX) and 13% (SE ± 4.7) (CX). The percentage of total scores which were sound scores in the TX and CX groups following inclusion in the trial was 81% and 66.1%, respectively (P < 0.001). The main lesions found on treatment in the TX group were sole haemorrhage (41% of cases) and digital dermatitis (33%). Severe lesions (sole ulcers and toe necrosis) were only found in 6.6% of cases. In the treated CX animals the percentage of severe lesions was 14%.

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.

A bespoke management package can reduce levels of injurious pecking in loose-housed laying hen flocks.

This study investigated the protective effects of an on-farm management package designed to reduce injurious pecking (IP) in loose-housed laying hens. A systematic review of scientific literature generated 46 potentially protective management strategies. Bespoke management packages were designed for treatment flocks (TF) using these management strategies. IP in 53 TFs was compared with IP in 47 control flocks (CF) where the management package was not employed. Scoring of plumage damage (PD) and observations of gentle and severe feather pecking (GFP; SFP), and vent and cannibalistic pecking (VP) were completed, and management strategy use was recorded, at 20, 30 and 40 weeks of age. Differences between treatment and CF were examined using multilevel modelling. Compared with CF, TF employed more management strategies (P<0.001), had lower PD (P=0.003) and SFP (P=0.019). Regardless of treatment or control flock status, the more of the 46 management strategies that were employed the lower was the PD (P=0.004), GFP (P=0.021), SFP (P=0.043), mortality at 40 weeks (P=0.025), and the likelihood of VP (P=0.021). Therefore, the provision of a bespoke management package was protective against the majority of forms of IP in commercial laying hen flocks.

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.

A descriptive review of the peer and non-peer reviewed literature on the treatment and prevention of foot lameness in cattle published between 2000 and 2011.

The aim of this study was to collate and review the peer and non-peer reviewed English language literature on the treatment and prevention of foot lameness in cattle published since January 2000. The study aimed to identify deficits in knowledge and areas of disparity between what is recommended in the field by veterinarians, foot trimmers and advisors and what has been substantiated experimentally. Peer reviewed literature containing original work was gathered by searching three databases. Papers were categorised and reviewed if they contained material on treatment or prevention. Non-peer reviewed clinical materials were collated from a range of sources. The materials were reviewed and categorised based on whether they recommended a range of possible treatment and prevention strategies. The peer reviewed data base contained 591 papers, of which 286 contained information on treatment or prevention. The vast majority of papers (258) concerned prevention; only a small number covered treatment (31) and of these only three contained information on the treatment of sole ulcers or white line disease. The number of intervention studies and trials was low; most papers on prevention were observational. Generally, lesion specific outcomes were not described making the findings of these papers difficult to use clinically. The non-peer reviewed material contained 46 sources; they varied significantly in regard to the treatments they advocated with some texts directly contradicting each other. Some aspects of prevention recommended in these sources seemed poorly supported by findings from the research literature. Well designed intervention studies are required to address these deficits.

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 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.

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.