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School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern?...

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School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and Epidemiology Jon Huxley Assoc Prof Cattle Health Population Health Group
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Page 1: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Cow Health (and Welfare):A cause for concern?Mission Impossible?

Martin GreenProf Cattle Health and Epidemiology

Jon HuxleyAssoc Prof Cattle Health

Population Health Group

Page 2: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Thanks to…SVMS Population HealthStaff:Dr Andrew BatesDr Andrew BatesDr Marnie BrennanDr Marnie BrennanDr Rachel Dean (Director Evidence-based Vet Med Centre) Prof Martin Green Prof Martin Green Dr Jon Huxley Dr Jon Huxley Dr Nigel Kendall Dr Nigel Kendall Prof Jamie Leigh Prof Jamie Leigh Adam Spencer Adam Spencer Dr Wendela WapenaarDr Wendela Wapenaar Dr Lisa Yon

Postgraduate Students:Aurélien Madouasse Aurélien Madouasse Sarah Potterton Sarah Potterton Hannah RobbinsHannah RobbinsJennifer WillsDavid BlackDavid Black

Special Profs / Lecturers:Prof Laura GreenProf Laura GreenJames Husband James Husband Peter OrpinPeter Orpin

Dairy Herd Health Group:

Andy Biggs Andy Biggs Dr James Breen Dr James Breen Mark Burnell Mark Burnell Alistair Hayton Alistair Hayton Bill May Bill May Jon Reader Jon Reader Jon Statham Jon Statham Mike ThorneMike Thorne

RCVS Trust Clinical Resident :Simon ArcherSimon Archer

Page 3: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Our Perspective

• Dairy cows• Cow health/welfare and a ‘free’ global

market– Close to farm– Research in bovine health

• Role of the veterinary surgeon of today and tomorrow

• Author views!

Page 4: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Cow Welfare

• A state of ‘wellbeing’, ‘normality’, physical and emotional norm

• 5 freedoms– from hunger and thirst– from discomfort– from pain, injury and disease– to express normal behaviour– from fear and distress

• Health an important component of good welfare– Terminology used in a variety of ways

Page 5: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Cow Welfare

Ill health

Pain

Suffering by– ‘Hurt’ (sensations eg aches, stabs, heat etc)– Emotional state altered– Behavioural changes

Page 6: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Industry

Page 7: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

But within this market…

Loser

Page 8: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

In what way are cows losing out?

•Health– NB Other aspectse.g. BehavioursFear, distressDiscomfortNutrition

Page 9: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns - Lameness

Page 10: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

UK Incidence Rate (Cows treated/100cows/year)

0

20

40

60

80

1960

1972

1983

1989

1991

1993

1996

1998

2000

Year of survey

Reported lameness incidence 1960-2000

Lame cows/100 cows/year

Independent

Page 11: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

UK Prevalence

• Proportion of the herd affected:– 34% (0 – 70%)

• (Heath Feet Project 2006-07)

– 30.0% (8.5 – 74.2%)• (Huxley 2005)

– 24.2% (6.8 – 55.6%)• (Huxley et al 2004)

– 23.1% & 20.0% • (Main et al 2003)

– 20.6% (2 – 53.9%)• (Clarkson et al 1996)

Page 12: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns – Mastitis“Inflammation of the Mammary Gland”

• Clinical cases

• Subclinical infections• Somatic Cell Counts

Page 13: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Incidence Rate of Clinical Mastitis

0

50

100

150

200

250

300

350

Farm in ascending order of incidence rate

Inci

den

ce r

ate

of

clin

ical

mas

titi

s (c

ases

per

100

co

ws

/ ye

ar)

Bradley et al 2007

>50 cases/100 cows/yr

Page 14: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Herd Somatic Cell Counts

Bulk tank SCC in 1845 herds over 3 years

45% herd test days above 200,000

Page 15: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Somatic Cell Counts

Individual Cow in 1845 herds over 3 years

• 25% herds: >30% cow-readings 25% herds: >30% cow-readings above 200,000 cells/mlabove 200,000 cells/ml

• 25% herds : > 20% cows remain 25% herds : > 20% cows remain above 200,000 cells/ml for 2 above 200,000 cells/ml for 2 consecutive recordingsconsecutive recordings

Page 16: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns - Reproduction

• Dairy cow fertility has been declining globally over the last 20 years ~rate of 1% per year

• Most common reason for non-emergency culling– 30-50% of all culls

Page 17: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns - Metabolic Disease?

• Displaced abomasa• Hypocalcaemia• (Sub clinical) Ketosis

Page 18: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns – Infectious disease

• BVD, IBR, Johnes, Leptosporosis, Neospora, calf pneumonia …

• National prevalence?– BVD / Leptosporosis >90% herds affected?– Test difficulties

• Lack of co-ordinated efforts to control?

Page 19: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Concerns - Calving Management?

• Calving associated– Incidence rate?– A common cause of

on-farm emergency culling and death of adult dairy cows?

Page 20: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Cow health could be better...

Why are cows losing out?

Important market drivers?

• Cheap (healthy, ethical) food– More for less mentality?

• Global ‘oversupply’ for many years (until recently)– Important driver of dairy prices(niches within…)

Page 21: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Why are cows losing out?

• Cheap food is great but …

• Is there enough in the farm budget for– Capital projects– Skilled labour (if available)

• Attention to detail

– Novel technologies

Page 22: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Why are cows losing out?

• Cheap food is great but …

• Our demands on each cow tend to increase

– Increased metabolic load

Page 23: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Increased Metabolic Load…

• Human Energy Requirements• Manual work or moderate exercise

~1.2 times maintenance

• Tour de France Cyclist• 2.7 x M

• Polar Expeditions• 2.4 – 3.4 x M

• Average UK Dairy Cow• 3.2 x M

• High yielding dairy cow• 4.8 x M

Page 24: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Why are cows losing out?

• Cheap food is great but …

• Our demands on each cow tend to increase

– Genetics focused on output (recently reduced)

– Farm environments need adapting for modern cows?

Page 25: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Unsuitable environments?

• Cubicle size

Page 26: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Unsuitable environments?

Concrete

Page 27: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Unsuitable environments?

It’s not just housing…!!

Page 28: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

What a Market doesn’t ask:-

Cow NEEDS?

Provide resources to meet needs?

Page 29: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Industry

Page 30: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Public perception of dairying good at present?

– A distant view?– Will it change…

Page 31: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

An Example: Mr F, Somerset

• Current performance– Lame - top 5%– Repro - top 5%– Mastitis – top 20%

– 9000 litres/cow/yr– Housed ~75% of the year

• Good farmer, cows quiet, in very good condition, cow focused environment

Page 32: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

An Example: Mr F, Somerset

• Many years of poor milk prices…

Page 33: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

An Example: Mr F, Somerset

As soon as milk prices increased …

…invested in new buildings / environment for the cows

Page 34: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Farmer approach…

• Many would like to spend more on improving cow health and welfare

– But variation in attitudes

Not always clear return on investment for health / welfare matters

Page 35: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Farmer approach…

• Many different personalities and abilities– No training required– Little regular quality assurance

Basic ‘Health’ Schemes…– National dairy farm assurance scheme– Retailer schemes

Page 36: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

But who will improve the cow’s situation?

Farmer ?Milk Buyer ?

Retailer ?

Govern-ment ?

Consumer?

Vets?Welfare Groups ?Funding

bodies

Page 37: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

But who will improve the cow’s situation?

?Mission Impossible

Vets?

Page 38: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Modern Veterinary Approach to Managing Dairy Herd Health

• Many vet practices undertaking dairy herd health management– NOT JUST HEALTH PLANNING!!– ? How many herds are included in holistic veterinary

herd health schemes?

• … elements of our approach

Page 39: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Approach to Managing Dairy Herd Health

• Farms opt in• Payment schemes

– Fixed pence per litre (contract) to deliver agreed services

– Services include • All aspects of health• +/ Diet formulation• Agreed out of hours component• Agreed surgical component• Agreed small animal component!

Page 40: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Approach to Managing Dairy Herd Health

• Main health elements– Reproduction– Lameness– Mastitis– Metabolic conditions– Infectious & parasitic disease– Injury– Nutrition– Culling reasons– Young stock– Biosecurity

Page 41: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

ObjectivesRecording

Evaluation/interpretationTargets achieved?

Yes or No

Problem analysisProblem analysis(diagnosis + intervention)(diagnosis + intervention)

Approach to Managing Dairy Herd Health

Page 42: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Approach to Managing Dairy Herd Health

• Herd size is increasing(~20% cows in herds >200 cows)– Assess cows and environment, but– Emphasis on data and its interpretation-

POPULATIONS

• Monitor “Critical Indicators” – Provide early warning systems of health and

production issues– Use of software

Page 43: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Data Monitoring – Critical Indicators

• Monthly or fortnightly assessment of early indicators of health or production

• Realistic targets – for individual units

Page 44: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Data Monitoring

• Vets have a great opportunity;– To assess data quality– To encourage accurate use – To provide regular feedback and analysis

• Quantitative skills useful!– Assess herd patterns– Can use probability to help decision process

• (Approx level of certainty)

Page 45: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Decision-Making

Strength of Information

Importance of Event

Cost / Effort to Change

Possible outcomes

Page 46: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Why Doesn’t it Always Work??

• Farmer compliance– Resources available

• Financial• ‘Time’

– Attitudes to risk– “Prior” beliefs

• Knowledge gaps e.g.– Lameness– Reproduction– Social and psychological aspects

Page 47: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Herd Health

• Key issues

RelationshipsSocial aspects

Page 48: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Taking it Further:A National Health Scheme for Mastitis Control in Dairy Cows

• Aim to identify a team of UK veterinary surgeons and advisors to work in a collaborative manner to develop a widespread mastitis control scheme

– Using a plan tested in a national RCT– First 80 people signed up!

Andrew Bradley, James Breen, Chris HudsonAndrew Bradley, James Breen, Chris Hudson

Page 49: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

DairyCo Mastitis Control Plan

“Data Patterns ”

Herd Category

Could

Should

Must

10-15 Action Points

COMPLIANCE

STARTED APRIL 2009!

Page 50: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Dairy Cow Health and the Environment?

Page 51: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Important?

report published by the United Nations Food and Agriculture Organization…

“ the livestock sector generates more greenhouse gas emissions as measured in CO2 equivalent – 18 percent – than transport. It is also a major source of land and water degradation.”

“Livestock are one of the most significant contributors to today’s most serious environmental problems. Urgent action is required to remedy the situation.”

Page 52: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

The Environment would benefit if …

• Unnecessary culling is reduced– reduced cow numbers

required

• “Wasted” milk is minimised– Due to treatments or

production losses

Page 53: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

The Environment and Dairy Cow Health

Will this drive change…?

Page 54: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Summary

• Overall the health of our dairy cows could be (much) better– Some herds are good, but average leaves room

for improvement

• We have some of the tools needed to improve cow health– Can we implement what we know?

• Do we have the necessary resources?

– But important, large, (currently unfashionable) areas need addressing

Page 55: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Who is to be the Guardian of Cow Health?

• Farmer?• Vet?• Retailer?• Government?• Consumer?• Interested groups?

Dairy Cow Health (and Welfare):A cause for concernMISSION IMPOSSIBLE?

• Do we need a new model?

Page 56: School of Veterinary Medicine and Science Dairy Cow Health (and Welfare): A cause for concern? Mission Impossible? Martin Green Prof Cattle Health and.

School of Veterinary Medicine and Science

Thank you!


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