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 School of Veterinary Medicine and Science Thanks to… SVMS Population Health Staff: Dr Andrew Bates Dr Marnie Brennan Dr Rachel Dean (Director Evidence-based Vet Med Centre) Prof Martin Green Dr Jon Huxley Dr Nigel Kendall Prof Jamie Leigh Adam Spencer Dr Wendela Wapenaar Dr Lisa Yon Postgraduate Students: Aurélien Madouasse Sarah Potterton Hannah Robbins Jennifer Wills David Black Special Profs / Lecturers: Prof Laura Green James Husband Peter Orpin Dairy Herd Health Group: Andy Biggs Dr James Breen Mark Burnell Alistair Hayton Bill May Jon Reader Jon Statham Mike Thorne RCVS Trust Clinical Resident : Simon Archer 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! 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 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 School of Veterinary Medicine and Science Dairy Industry School of Veterinary Medicine and Science But within this market… Loser School of Veterinary Medicine and Science In what way are cows losing out? •Health – NB Other aspects e.g. Behaviours Fear, distress Discomfort Nutrition School of Veterinary Medicine and Science Concerns - Lameness School of Veterinary Medicine and Science UK Incidence Rate (Cows treated/100cows/year) Reported lameness incidence 1960-2000 Independent 80 60 40 20 20 00 19 98 19 96 19 93 19 91 19 89 19 83 19 72 0 19 60 Lame cows /100 cows /year Year of survey 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) School of Veterinary Medicine and Science Concerns – Mastitis “Inflammation of the Mammary Gland” • Clinical cases • Subclinical infections • Somatic Cell Counts School of Veterinary Medicine and Science Incidence Rate of Clinical Mastitis Incidence rate of clinical mastitis (cases per 100 cows / year) 350 300 >50 cases/100 cows/yr 250 200 150 100 50 0 Farm in ascending order of incidence rate Bradley et al 2007 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 School of Veterinary Medicine and Science Somatic Cell Counts Individual Cow in 1845 herds over 3 years • 25% herds: >30% cow-readings above 200,000 cells/ml • 25% herds : > 20% cows remain above 200,000 cells/ml for 2 consecutive recordings 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 School of Veterinary Medicine and Science Concerns - Metabolic Disease? • Displaced abomasa • Hypocalcaemia • (Sub clinical) Ketosis 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? 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? 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…) 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 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 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 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? School of Veterinary Medicine and Science Unsuitable environments? • Cubicle size School of Veterinary Medicine and Science Unsuitable environments? Concrete School of Veterinary Medicine and Science Unsuitable environments? It’s not just housing…!! School of Veterinary Medicine and Science What a Market doesn’t ask:Cow NEEDS? Provide resources to meet needs? School of Veterinary Medicine and Science Dairy Industry School of Veterinary Medicine and Science Public perception of dairying good at present? –A distant view? –Will it change… 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 School of Veterinary Medicine and Science An Example: Mr F, Somerset • Many years of poor milk prices… 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 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 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 School of Veterinary Medicine and Science But who will improve the cow’s situation? Milk Buyer ? Farmer ? Consumer? Retailer ? Government ? Vets? Funding bodies Welfare Groups ? School of Veterinary Medicine and Science But who will improve the cow’s situation? ?Mission Impossible Vets? 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 School of Veterinary Medicine and Science Approach to Health Managing Dairy Herd • 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! School of Veterinary Medicine and Science Approach to Health Managing Dairy Herd • Main health elements – – – – – – – – – – Reproduction Lameness Mastitis Metabolic conditions Infectious & parasitic disease Injury Nutrition Culling reasons Young stock Biosecurity School of Veterinary Medicine and Science Approach to Health Managing Dairy Herd Objectives Recording Evaluation/interpretation Targets achieved? Yes or No Problem analysis (diagnosis + intervention) School of Veterinary Medicine and Science Approach to Health Managing Dairy Herd • Herd size is increasing (~20% cows in herds >200 cows) – Assess cows and environment, but – Emphasis on data and its interpretationPOPULATIONS • Monitor “Critical Indicators” – Provide early warning systems of health and production issues – Use of software 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 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) School of Veterinary Medicine and Science Decision-Making Strength of Information Importance of Event Cost / Effort to Change Possible outcomes 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 School of Veterinary Medicine and Science Dairy Herd Health • Key issues Relationships Social aspects School of Veterinary Medicine and Science Taking it Further: A National Health Scheme for Mastitis Control in Dairy Cows Andrew Bradley, James Breen, Chris Hudson • 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! School of Veterinary Medicine and Science DairyCo Mastitis Control Plan “Data Patterns ” Herd Category Must Should 10-15 Action Points COMPLIANCE Could STARTED APRIL 2009! School of Veterinary Medicine and Science Dairy Cow Health and the Environment? 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.” 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 School of Veterinary Medicine and Science The Environment and Dairy Cow Health Will this drive change…? 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 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 concern MISSION IMPOSSIBLE? • Do we need a new model? School of Veterinary Medicine and Science Thank you! School of Veterinary Medicine and Science