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1.
Vet Sci ; 9(10)2022 Oct 11.
Article in English | MEDLINE | ID: mdl-36288172

ABSTRACT

Mastitis is the greatest disease challenge for dairy producers, with substantial economic impacts due to lost milk production. Amongst the approaches implemented to control and prevent mastitis on dairies are vaccination, pre- and post-milking teat dips, and treatments at dry-off including intramammary antibiotics and teat sealants. The objectives of our study were to evaluate the effect of different treatments at dry-off on the subsequent lactation's milk production and somatic cell count (SCC). A single-blinded controlled block randomized clinical trial was conducted between December 2016 and August 2018 on eight herds from four of the top ten milk-producing counties in California: Tulare, Kings, Stanislaus, and San Joaquin. The trial was repeated with cows enrolled during the winter and summer seasons to account for seasonal variability. Eligible cows were treated at dry-off with either intramammary antibiotics (AB), internal teat sealant (TS), AB + TS, or did not receive any treatment (control), and were followed through 150 days in milk (DIM) post-calving. The milk production and SCC data were extracted from monthly test day milk records (Dairy Comp 305, Valley Ag Software, Tulare, CA, USA). Two-piece spline linear mixed models were used to model the milk production (kg) and natural logarithm-transformed SCC. After accounting for parity, breed, season, and dry period duration, the milk model showed a significant increase in milk production (1.84 kg/day) in cows treated with AB + TS at dry-off in comparison to controls. There was no significant difference in the milk produced by cows that received either AB or TS (0.12 kg/day, and 0.67 kg/day, respectively) in comparison to the untreated cows. Different dry cow treatments were associated with a significant reduction in ln SCC during the first 150 DIM. The greatest reduction was associated with using AB + TS, followed by AB, and finally TS in comparison to controls. Dairies with high SCC may benefit from treating cows at dry-off with AB, TS, or both.

2.
Antibiotics (Basel) ; 11(7)2022 Jul 15.
Article in English | MEDLINE | ID: mdl-35884208

ABSTRACT

Intramammary antibiotic (AB) and internal teat sealants (TS) infusion at dry-off have been used to prevent intramammary infections (IMI) in dairy cows during the dry period and reduce the risk of mastitis during the dry period and subsequent lactation. A randomized clinal trial was completed on eight California dairy herds to estimate the effects of different dry cow therapies (AB, TS, AB + TS or None) on clinical mastitis and culling. A total of 1273 cows were randomized to one of the four treatment groups over summer and winter seasons. For each enrolled cow, microbiological testing was done on quarter milk samples collected from the first detection of clinical mastitis within the first 150 days in milk (DIM) in the subsequent lactation. Statistical analysis was done using generalized linear mixed models. There were no significant differences in the odds of clinical mastitis or culling between cows treated with AB, TS, or AB + TS compared to the controls. Dry cow therapy with AB and/or TS had no statistically significant effect on clinical mastitis and cow culling during the first 150 DIM.

3.
PeerJ ; 7: e8081, 2019.
Article in English | MEDLINE | ID: mdl-31763073

ABSTRACT

Mycobacterium avium subspecies paratuberculosis (MAP) is a bacterium that can cause substantial economic losses in infected dairy herds due to reduced milk production and increased cow-replacement costs. In order to control MAP in dairies with drylot pens, a standardized environmental sampling protocol to quantify MAP in fecal slurry was developed based on an existing protocol for freestall pens. Specifically, following a 24 h hold of the flush, a grab sample of approximately 10 ml of fecal slurry was collected every 1 m along the flush lane of the drylot pens, avoiding individual cow fecal pats. To determine the reliability and repatability of the new environmental sampling protocol for estimation of MAP bioburden at the pen level, two collectors simultaneously collected fecal slurry samples every day for 3 days from six drylot cow pens on two Central California dairies. During the study period no cow movement between pens was allowed with the exception of sick cows. The study herds had MAP seroprevalence of 5.8% and 3.2%, respectively, based on whole pen serum ELISA results. Variance components models for quantitative real-time PCR (qPCR) results showed samples collected from different pens on different dairies accounted for greater variablitiy in MAP concentration (65%), while samples collected by different collectors had the least variability (0.1%). In contrast, variability in MAP concentration in environmental samples collected on different days had 25% variability. The intraclass correlation coefficient showed high reliability (93%) of environmental sampling simultaneously by different collectors. In contrast, the reliability of environmental sampling at different days was 65%, which was similar to the reliability for sampling by different collectors on different days. Investigators can expect high reliability when employing the new environmental sampling protocol along with qPCR testing of environmental samples from drylot pens.

4.
J Dairy Sci ; 99(2): 1483-1494, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26709177

ABSTRACT

In the spring of 2013, a survey of California (CA) dairies was performed to characterize management practices related to bovine respiratory disease in preweaned calves, compare these practices across geographic regions of the state, and determine the principal components that explain the variability in management between herds. The questionnaire consisted of 53 questions divided into 6 sections to assess management practices affecting dairy calves from precalving to weaning. The questionnaire was mailed to 1,523 grade A licensed dairies in CA and 224 responses (14.7%) were collected. Survey response rates were similar over the 3 defined regions of CA: northern CA, northern San Joaquin Valley, and the greater southern CA region. The mean size of respondent herds was 1,423 milking cows. Most dairies reported raising preweaned calves on-site (59.7%). In 93.3% of dairies, preweaned calves were raised in some form of individual housing. Nonsaleable milk was the most frequent liquid diet fed to preweaned heifers (75.2%). Several important differences were identified between calf-raising practices in CA and practices reported in recent nationwide studies, including herd sizes, housing practices, and sources of milk fed to heifers. The differences between the CA and nationwide studies may be explained by differences in herd size. Regional differences within CA were also identified. Compared with the 2 other regions, northern CA dairies were found to have smaller herds, less Holstein cattle, calves remained with dams for longer periods of time after calving, were more likely to be certified organic dairies, and raised their own calves more often. Principal component analysis was performed and identified 11 components composed of 28 variables (questions) that explained 66.5% of the variability in the data. The identified components and questions will contribute to developing a risk assessment tool for bovine respiratory disease in preweaned dairy calves.


Subject(s)
Animal Welfare , Cattle Diseases/epidemiology , Dairying/methods , Milk/metabolism , Respiratory Tract Diseases/veterinary , Animals , Animals, Newborn , California/epidemiology , Cattle , Diet/veterinary , Female , Respiratory Tract Diseases/epidemiology , Risk Assessment , Surveys and Questionnaires , Weaning
5.
J Dairy Sci ; 98(3): 1805-14, 2015 Mar.
Article in English | MEDLINE | ID: mdl-25597977

ABSTRACT

The objective of this cohort study was to evaluate whether rearing dairy heifers at different premises than the dairy of origin (off-site) reduced the risk of Mycobacterium avium ssp. paratuberculosis (MAP) infection more effectively than rearing on the dairy of origin (on-site). From 2003 to 2005, 3 cohorts of Jersey heifers were born on a single California dairy, with heifers in the first cohort raised on-site until first calving (n=797); heifers in the second cohort raised on-site until approximately 5 mo of age and off-site until about 1 to 2 mo precalving (n=791); and heifers in the third cohort raised off-site from d 1 until about 1 to 2 mo before first calving (n=797). Cohorts were sequentially enrolled, and heifers were followed until death, culling, or up to 6 yr of age. Heifers were tested annually for MAP infection by serum ELISA and bacterial culture of feces, from lactation 1 until they were 6 yr old, and all mortality and culling events were recorded. Compared with cohort 1, cohort 3 had lower hazards of seroconverting and shedding of MAP in feces, approximately 70 and 38%, respectively. Cohort 2 was not significantly different from cohort 1 for the same outcomes. Mortality hazards were only significantly different between cohorts before first calving, with calves raised completely off-site at lower risk than the remaining 2 cohorts. Additionally, the hazards for culling in cohorts 2 and 3 were only significantly different from cohort 1 after the first calving. To our knowledge, the current study is the first cohort study to evaluate the association between off-site heifer rearing and risk of MAP infection, mortality, and culling. Rearing heifer calves off-site, away from infected adult dairy cows, may have allowed for reduced exposure to MAP in the environment of the calves and, hence, served as a control strategy for Johne's disease.


Subject(s)
Animal Husbandry , Cattle Diseases/microbiology , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/microbiology , Animals , California , Cattle , Cattle Diseases/epidemiology , Cohort Studies , Enzyme-Linked Immunosorbent Assay/veterinary , Feces/microbiology , Female , Paratuberculosis/epidemiology
6.
J Am Vet Med Assoc ; 244(5): 582-7, 2014 Mar 01.
Article in English | MEDLINE | ID: mdl-24548233

ABSTRACT

OBJECTIVE--To evaluate associations between Mycobacterium avium subsp paratuberculosis (MAP) and caudal fold tuberculin (CFT) test results in cattle. DESIGN--Longitudinal and cross-sectional evaluations. ANIMALS--1 California (approx 3,600 cows) and 3 Colorado (approx 640, 1,190, and 1,480 cows) dairy herds considered free of Mycobacterium bovis infection. PROCEDURES--In the California herd, the association between CFT response and MAP status was determined with ELISA and mycobacterial culture of feces within 1 year before and after CFT testing. The association between CFT and MAP status in all herds was modeled with mixed-effects logistic regression. RESULTS--In the California herd, significantly higher odds of being classified as suspect by CFT were found for cows with results of MAP ELISA negative before and positive after CFT testing (OR, 5.6) and cows positive before and after CFT testing (OR, 8.1). Higher odds were found for cows positive for mycobacterial culture of feces before and negative for culture after CFT testing (OR, 4.6) and cows negative for mycobacterial culture of feces before and positive for culture after CFT testing (OR, 13.2). All herds had higher odds of being classified as suspect by CFT testing for cows with positive results for ELISA (OR, 2.9) or mycobacterial culture of feces (OR, 5.0), compared with cows with negative results of the same tests. CONCLUSIONS AND CLINICAL RELEVANCE--A strong association was found between positive MAP test results and being classified as a suspect by CFT testing. Within-herd MAP prevalence may affect specificity of CFT testing for tuberculosis in cattle.


Subject(s)
Cattle Diseases/diagnosis , Enzyme-Linked Immunosorbent Assay/veterinary , Feces/microbiology , Mycobacterium avium subsp. paratuberculosis , Mycobacterium bovis , Tuberculin Test/veterinary , Animals , Cattle , Colony Count, Microbial/veterinary , False Positive Reactions , Female , Mycobacterium bovis/immunology , Paratuberculosis/diagnosis , Paratuberculosis/immunology , Tuberculosis, Bovine/diagnosis , Tuberculosis, Bovine/immunology
7.
J Vet Diagn Invest ; 24(5): 821-32, 2012 Sep.
Article in English | MEDLINE | ID: mdl-22807510

ABSTRACT

Diagnostic strategies to detect Mycobacterium avium subsp. paratuberculosis (MAP) super-shedder cows in dairy herds have been minimally studied. The objective of the current study was to compare the cost-effectiveness of strategies for identification of MAP super-shedders on a California dairy herd of 3,577 cows housed in free-stall pens. Eleven strategies that included serum or milk enzyme-linked immunosorbent assay (ELISA), quantitative real-time polymerase chain reaction (qPCR) or culture of environmental samples, pooled or individual cow fecal samples, or combinations thereof were compared. Nineteen super-shedders (0.5%) were identified by qPCR and confirmed by culture as cows shedding ≥ 10,000 colony forming units (CFU)/g feces (median of 30,000 CFU/g feces). A stratified random sample of the study herd based on qPCR results of fecal pools was the most sensitive (74%) strategy and had the highest cost ($5,398/super-shedder). The reference strategy with the lowest cost ($1,230/super-shedder) and sensitivity (47%) included qPCR testing of fecal samples from ELISA-positive lactating (milk) and nonlactating (serum) cows housed in pens with the highest MAP bioburden. The most cost-effective alternative to the reference was to perform qPCR testing of fecal samples from ELISA-positive cows (milk and serum for milking and dry cows, respectively) for a sensitivity of 68% and cost of $2,226/super-shedder. In conclusion, diagnostic strategies varied in their cost-effectiveness depending on the tests, specimen type, and labor costs. Initial qPCR testing of environmental samples from free-stall pens to target cows in pens with the highest MAP bioburden for further testing can improve the cost-effectiveness of strategies for super-shedder identification.


Subject(s)
Bacteriological Techniques/veterinary , Cattle Diseases/diagnosis , Enzyme-Linked Immunosorbent Assay/veterinary , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/diagnosis , Real-Time Polymerase Chain Reaction/veterinary , Animals , Antibodies, Bacterial/blood , Bacterial Shedding/physiology , Bacteriological Techniques/economics , Bacteriological Techniques/methods , Cattle , Cattle Diseases/economics , Cost-Benefit Analysis , Enzyme-Linked Immunosorbent Assay/economics , Enzyme-Linked Immunosorbent Assay/methods , Feces/microbiology , Female , Paratuberculosis/economics , Real-Time Polymerase Chain Reaction/economics , Real-Time Polymerase Chain Reaction/methods
8.
J Vet Diagn Invest ; 22(5): 677-83, 2010 Sep.
Article in English | MEDLINE | ID: mdl-20807920

ABSTRACT

Real-time quantitative polymerase chain reaction (qPCR) testing for Mycobacterium avium subspecies paratuberculosis (MAP) in fecal samples is a rapid alternative to culture on Herrold egg yolk medium (HEYM), the traditional antemortem reference test for MAP. Although the sensitivity and specificity of these 2 tests have been estimated based on dichotomized test results, the correlation between real-time qPCR threshold cycle (Ct) values and colony-forming units (CFU) on HEYM for fresh and thawed samples has not been evaluated. The objectives of the present study were to estimate the correlation and association between Ct and CFU in fresh and thawed pooled fecal and environmental samples. Results of HEYM culture of 1,997 pooled fecal samples from cows in 14 herds, and 802 environmental samples from 109 dairies nationwide were negatively (inversely) correlated with their respective real-time qPCR results. The Spearman's rank correlation between Ct and CFU was good (-0.66) in fresh and thawed pooled fecal samples, and excellent (-0.76) and good (-0.61) in fresh and thawed environmental samples, respectively. The correlation varied from good (-0.53) to excellent (-0.90) depending on the number of samples in a fecal pool. Truncated regression models indicated a significant negative association between Ct and CFU in fecal pools and environmental samples. The use of real-time qPCR instead of HEYM can yield rapid, quantitative estimates of MAP load and allow for incorporation of real-time qPCR results of pooled and environmental samples in testing strategies to identify dairy cow groups with the highest MAP shedding.


Subject(s)
Culture Media , Egg Yolk , Mycobacterium avium subsp. paratuberculosis/genetics , Polymerase Chain Reaction/methods , Animals , California , Cattle , Cattle Diseases/epidemiology , Cattle Diseases/microbiology , Colony-Forming Units Assay , Dairying , Egg Yolk/microbiology , Environment , Feces/microbiology , Female , Mycobacterium avium subsp. paratuberculosis/growth & development , New York , Paratuberculosis/epidemiology , Paratuberculosis/microbiology , Pennsylvania , Regression Analysis , Vermont
9.
Am J Vet Res ; 69(7): 904-11, 2008 Jul.
Article in English | MEDLINE | ID: mdl-18593244

ABSTRACT

OBJECTIVE: To investigate herd characteristics and management practices associated with a high seroprevalence of Mycobacterium avium subsp paratuberculosis (MAP) in dairy herds in central California. SAMPLE POPULATION: 60 randomly selected cows from each of 21 dairy herds. PROCEDURES: Sera of selected cows were tested for antibodies against MAP by use of an ELISA test kit. Cows with a test sample-to-positive control sample (S:P) ratio of > or = 0.25 were considered seropositive, and herds with > or = 4% seropositive cows were considered high-seroprevalence herds. Data on herd characteristics and management practices were collected via interviews with owners. Bayesian logistic regression was used to model the predictive probability of a herd having a high seroprevalence on the basis of various herd characteristics and management practices. RESULTS: 9 of 21 (43%) herds were classified as high-seroprevalence herds. Five variables (history of previous signs of paratuberculosis in the herd, herd size, exposing cattle to water from manure storage lagoons, feeding unsalable milk to calves, and exposing heifers < or = 6 months old to manure of adult cows) were included in the predictive model on the basis of statistical and biological considerations. In large herds, the predictive probability of a high seroprevalence of MAP infection decreased from 0.74 to 0.39 when management changed from poor to good practices. In small herds, a similar decrease from 0.64 to 0.29 was predicted. CONCLUSIONS AND CLINICAL RELEVANCE: The seroprevalence of MAP infection in California dairies may be reduced by improvements in herd management practices.


Subject(s)
Animal Husbandry/methods , Cattle Diseases/epidemiology , Cattle Diseases/microbiology , Dairying/methods , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/epidemiology , Paratuberculosis/microbiology , Animals , Antibodies, Bacterial/blood , Bayes Theorem , Cattle , Enzyme-Linked Immunosorbent Assay/veterinary , Female , Seroepidemiologic Studies
10.
J Vet Diagn Invest ; 18(3): 233-42, 2006 May.
Article in English | MEDLINE | ID: mdl-16789710

ABSTRACT

Cows from 2 California dairies were tested for paratuberculosis at the end of lactation by using fecal culture and a commercially available serum enzyme-linked immunosorbent assay (ELISA) test kit. Individual cow characteristics and production variables were evaluated along with ELISA testing results as predictors of fecal culture status. In multivariable logistic regression analysis, age and a herd-standardized version of 305-day mature equivalent (305 ME) milk production were significant predictors of fecal culture status after adjusting for herd, quarter of the study year, and ELISA sample-to-positive (S/P) ratio. The area under a nonparametric receiver operating characteristic curve was significantly greater for a multivariable model that included age and the level of milk production when compared with a model without these covariates. In conclusion, consideration of cow-level covariates was useful as an aid in predicting Mycobacterium avium ssp. paratuberculosis (MAP) fecal culture status. For a given ELISA S/P ratio, older cows and those with lower 305 ME milk production relative to other cows in the herd were significantly more likely to be shedding MAP in their feces at the end of lactation.


Subject(s)
Antibodies, Bacterial/blood , Cattle Diseases/microbiology , Enzyme-Linked Immunosorbent Assay/veterinary , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/diagnosis , Age Factors , Animals , Cattle , Cattle Diseases/diagnosis , DNA, Bacterial/chemistry , DNA, Bacterial/genetics , Electrophoresis, Agar Gel/veterinary , Enzyme-Linked Immunosorbent Assay/methods , Enzyme-Linked Immunosorbent Assay/standards , Feces/microbiology , Female , Lactation , Milk/metabolism , Multivariate Analysis , Mycobacterium avium subsp. paratuberculosis/genetics , Paratuberculosis/microbiology , Polymerase Chain Reaction/veterinary , Predictive Value of Tests , ROC Curve , Reagent Kits, Diagnostic/microbiology , Reagent Kits, Diagnostic/standards , Reagent Kits, Diagnostic/veterinary , Seasons
11.
Am J Vet Res ; 67(5): 821-8, 2006 May.
Article in English | MEDLINE | ID: mdl-16649916

ABSTRACT

OBJECTIVE: To investigate the epidemiologic and financial impacts of targeted sampling of subpopulations of cows, compared with random sampling of all cows, for classification of dairy herd infection status for paratuberculosis. ANIMALS: All cows from 4 infected herds with a low-to-moderate prevalence of paratuberculosis and from 1 noninfected herd in California. PROCEDURE: The infection status of each cow was classified on the basis of results of an ELISA or combined ELISA and fecal culture results. Thirteen sampling schemes designed to randomly sample cows on the basis of lactation number, stage of lactation, and milk production were evaluated. Sampling without replacement was used to obtain a probability of herd detection of paratuberculosis for each evaluated sampling method and for simulated sample sizes between 30 and 150 cows. Marginal cost-effectiveness analysis was used to determine the cost increase relative to the increase in detection probability. RESULTS: Sampling cows in the third or higher lactation and > or = 200 days into lactation yielded the highest detection probability in most instances, resulting in a detection probability that was 1.4 to 2.5 times that obtained by sampling 30 cows in the second or higher lactation. Costs of testing via the alternative method with a 95% detection probability were approximately dollar 300 lower in a high-prevalence herd (31%) and dollar 800 lower in a low-prevalence herd (9%), compared with use of the reference method. CONCLUSIONS AND CLINICAL RELEVANCE: Detection of herds with paratuberculosis could be improved, and costs of testing substantially reduced by sampling targeted groups of cows.


Subject(s)
Cattle Diseases/diagnosis , Cattle Diseases/economics , Dairying/economics , Dairying/methods , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/diagnosis , Paratuberculosis/economics , Animals , Cattle , Cattle Diseases/epidemiology , Cattle Diseases/microbiology , Cost-Benefit Analysis , Female , Monte Carlo Method , Paratuberculosis/epidemiology , Paratuberculosis/microbiology , Prevalence
12.
Am J Vet Res ; 65(8): 1061-70, 2004 Aug.
Article in English | MEDLINE | ID: mdl-15334839

ABSTRACT

OBJECTIVE: To evaluate sensitivity of microbial culture of pooled fecal samples for detection of Mycobacterium avium subsp paratuberculosis (MAP) in large dairy herds and assess the use of the method for estimation of MAP prevalence. ANIMALS: 1,740 lactating cows from 29 dairy herds in California. PROCEDURE: Serum from each cow was tested by use of a commercial ELISA kit. Individual fecal samples were cultured and used to create pooled fecal samples (10 randomly selected fecal samples/pool; 6 pooled samples/herd). Sensitivity of MAP detection was compared between Herrold's egg yolk (HEY) agar and a new liquid culture method. Bayesian methods were used to estimate true prevalence of MAP-infected cows and herd sensitivity. RESULTS: Estimated sensitivity for pooled fecal samples among all herds was 0.69 (25 culture-positive pools/36 pools that were MAP positive). Sensitivity increased as the number of culture-positive samples in a pool increased. The HEY agar method detected more infected cows than the liquid culture method but had lower sensitivity for pooled fecal samples. Prevalence of MAP-infected cows was estimated to be 4% (95% probability interval, 2% to 6%) on the basis of culture of pooled fecal samples. Herd-level sensitivity estimate ranged from 90% to 100% and was dependent on prevalence in the population and the sensitivity for culture of pooled fecal samples. CONCLUSIONS AND CLINICAL RELEVANCE: Use of pooled fecal samples from 10 cows was a cost-effective tool for herd screening and may provide a good estimate of the percentage of MAP-infected cows in dairy herds with a low prevalence of MAP.


Subject(s)
Cattle Diseases/microbiology , Feces/microbiology , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/diagnosis , Animals , Bayes Theorem , California , Cattle , Cattle Diseases/diagnosis , Culture Media , Enzyme-Linked Immunosorbent Assay , Prevalence , Sensitivity and Specificity
13.
Prev Vet Med ; 60(3): 255-61, 2003 Aug 28.
Article in English | MEDLINE | ID: mdl-12900163

ABSTRACT

A total of 1,950 serum samples from dairy cattle in California, USA were tested for the presence of antibodies to Mycobacterium avium subspecies paratuberculosis (MAP) using a commercial enzyme-linked immunosorbent assay (ELISA) kit. The sampled animals came from 65 herds and were sampled to reflect the relative numbers and distribution of dairy herds within three geographic regions in the state. Using the manufacturers suggested cut-off for a positive test, 89 animals (4.6%) were positive. The seroprevalence was 6.9% in the northern region of the state, 3.7% in the central region and 5.2% in the southern region. Using the sensitivity and specificity claimed by the manufacturer of the ELISA kit, the true prevalence in California dairy cattle overall was calculated as 9.4% (99% CI, 7.7%, 11.1%) and the true prevalences for the northern, central and southern regions were 14.1% (99% CI, 9.6%, 18.65%), 7.5% (99% CI, 5.6%, 9.4%), and 10.6% (99% CI, 5.9%, 15.6%), respectively.


Subject(s)
Antibodies, Bacterial/blood , Cattle Diseases/epidemiology , Mycobacterium avium subsp. paratuberculosis/immunology , Paratuberculosis/epidemiology , Animal Husbandry , Animals , California/epidemiology , Cattle , Cattle Diseases/blood , Cattle Diseases/etiology , Dairying , Enzyme-Linked Immunosorbent Assay/veterinary , Female , Mycobacterium avium subsp. paratuberculosis/isolation & purification , Paratuberculosis/blood , Paratuberculosis/etiology , Seroepidemiologic Studies
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