Veterinary herd health management-Experiences and perceptions among Swedish dairy cattle veterinarians.

Cattle veterinarians have long been encouraged to take on a role as proactive health consultants. However, the process so far has been slow in Sweden and elsewhere, and only a rather small proportion of cattle work conducted by veterinarians involves veterinary herd health management (VHHM). The aims of this exploratory study were to explore Swedish cattle veterinarians' interpretation of VHHM services and to understand the factors that might affect the extent to which cattle veterinarians perform VHHM. Six focus group discussions with cattle veterinarians complemented with 5 individual telephone interviews with clinic managers were conducted in 2020. In total, 33 cattle veterinarians participated, all employed by the largest employer of Swedish cattle veterinarians: Distriktsveterinärerna (Swedish Board of Agriculture). Participants were chosen from 6 geographical regions with the aim to present variations in gender, age, country of education, proportion of dairy cattle work at the clinic, experience in the veterinary profession, and experience in work with dairy herds and in VHHM. The focus group discussions and interviews were recorded and these recordings were transcribed and analyzed thematically. Participants interpreted VHHM as work associated with the process of advising and included both ad hoc advising and more strategic forms of services. Prebooked visits per se were not seen as VHHM. We identified 4 different themes among the factors affecting the extent of VHHM services: (1) farmer trust and demand; (2) veterinary competence; (3) time available for VHHM; and (4) the individual veterinarian's commitment and motivation. To gain farmers' trust and to create a demand for VHHM services, the results of VHHM work and the veterinarian's competence were deemed central by the participants. The veterinarians' skills in communication and relation building were considered especially important. Some farmers were perceived as having little interest in, or lacking deeper knowledge about, VHHM services. The promotion of VHHM services was mentioned as an important factor to increase farmer demand. Participants described VHHM as work demanding high skills and continuous capacity development. Veterinarians' personal commitment and motivation were also described as important for the extent to which VHHM services were performed. This was in turn affected by the psychosocial work environment (e.g., workload, interest and recognition from farmers and managers, and acceptance, priority, and support by colleagues and managers). Clinic managers had a central role in the extent to which VHHM services are offered by an individual veterinarian due to their responsibility for staff scheduling, which highly affects the conditions for capacity development, intercollegiate networking, and cooperation. Lack of time was a major barrier for VHHM. On-call duty time and subsequent compensatory leave affected the total time available, and participants described time conflicts between VHHM and emergency services; moreover, it was perceived as challenging to find sufficient time for capacity development in several different species for veterinarians working in mixed practice. The slow development toward more proactive approaches for cattle veterinarians can be explained by the numerous different factors that together constrain the veterinarian to the traditional role of diagnosing and treating sick animals.

Veterinary herd health management-Experience among farmers and farm managers in Swedish dairy production.

A preventive herd health approach will most likely reduce incidences of clinical and subclinical disease. Swedish veterinary organizations offer specific veterinary herd health management (HHM) programs, but these services are not used to a large extent. The aim of this study was to investigate dairy farmers' experience of HHM and the conditions for collaboration with veterinarians in HHM. Six focus group discussions were conducted in March 2015 in West Sweden. In total, 33 dairy farmers participated. The recordings were transcribed and coded using thematic analysis, and the transcripts were reviewed to identify potential factors indicating barriers for farmers to engage a veterinarian in HHM. The participants reported HHM to be important, but they had difficulty defining the actions included in the concept. They described a wide range of their work duties as preventive. The farmers' list of potential contributions by the veterinarians in HHM was strikingly short compared to the considerable number of preventive measures they performed themselves. Four main obstacles for farmers and farm managers to engage a veterinarian in HHM on their farm were identified in the analysis: "costs", "veterinary knowledge, skills, and organization", "farmer attitudes", and "veterinarian-farmer relationships". Costs were proposed as the main reason against engaging a veterinarian in HHM and included a high veterinary bill, low cost-benefit of veterinary services, and high costs to implement advice. Poor veterinary competence in HHM and poor knowledge about effective measures, practical farming, and farm economics were other important obstacles. Veterinarians were perceived to insufficiently describe their services and their benefits, and several participants felt they had never been offered veterinary HHM. Although veterinary HHM may be initiated by the farmer, the participants expected the veterinarian to have special responsibility for the initiation. A firm trust between farmer, staff, and veterinarian was considered crucial for veterinary HHM, but such trust takes a long time to build and can easily be disrupted by, for example, a veterinarian's poor communication skills or lack of time. Our findings suggest that Swedish dairy farmers and herd managers find disease prevention important and that they perform a wide range of tasks to prevent disease in their animals. However, they do not see what role the veterinarian can play, and veterinarians were mainly associated with treating unhealthy cows. In order to increase the use of veterinary HHM programs the services and potential benefits of such programs need to be communicated more proactively.

Associations between decreased fertility and management factors, claw health, and somatic cell count in Swedish dairy cows.

The aim of this retrospective single-cohort study was to investigate if a rapid change in feeding, management, or housing or an increasing incidence of claw diseases or udder health problems is associated with decreased reproductive performance. Data on individual cows and herds were retrieved from the Swedish official milk recording system and questionnaire data on feeding system was obtained from the regional dairy associations. In total, 63,561 cows in 759 herds were included in the study. The associations between the probability of pregnancy at first insemination and number of inseminations per animal submitted for artificial insemination and potential predictor variables were investigated using a logistic regression model and a Poisson regression model, respectively. The results indicated that cows with severe claw lesions or an increasing somatic cell count after calving had a lower probability of pregnancy at first insemination and had a higher number of inseminations per animal submitted for artificial insemination than healthy cows. Variables representing a change in housing, production system, or milking system within the period from 6 mo before calving until establishment of a new pregnancy were significantly associated with decreased reproductive performance. No differences in fertility were observed between cows milked in an automatic milking system compared with cows milked conventionally. The results indicate that a change of system, rather than the actual type of milking or housing system negatively affects reproductive performance. Special attention should therefore be paid to the fertility of cows when the herd management is changing. It is also important to prevent claw lesions and increasing cell counts after calving to avoid a decrease in reproductive performance.

Test accuracy of metabolic indicators in predicting decreased fertility in dairy cows.

Negative energy balance is a known risk factor for decreased fertility in dairy cows. This study evaluated the accuracy of plasma concentrations of nonesterified fatty acids (NEFA), ß-hydroxybutyrate (BHBA), and insulin-like growth factor 1 (IGF-1)-factors related to negative energy balance-in predicting decreased fertility. One plasma sample per cow was collected from 480 cows in 12 herds during the period from d 4 to 21 in milk and analyzed for NEFA, BHBA, and IGF-1. For each cow, data on breed, parity, calving date, gynecological examinations, and insemination dates were obtained. Milk samples from 241 cows in 7 of the participating herds were analyzed for progesterone concentration to define the first day of luteal activity. The diagnostic sensitivity (Se) and specificity (Sp) at different cut-off concentrations of NEFA, BHBA, or IGF-1 were calculated and related to individual cow fertility status, measured as anestrus (ANEST), delayed first artificial insemination (DFAI), or delayed conception. Positive and negative predictive values (PV+; PV-) were calculated considering different levels of (within-herd) prevalence. Strata (i.e., subgroup)-specific Se and Sp and associations between test results and fertility parameters were investigated using logistic regression. The NEFA and BHBA tests for ANEST and DFAI had the highest combined Se and Sp and were thus evaluated further. Cut-off values with Sp around 80% were used in this step to provide a reasonable number of test-positive cows, representing a practical situation. This corresponded to a cut-off value for the NEFA test of 400 µEq/L (Se 0.27-0.45) and for the BHBA test of 1.8mM (Se 0.15-0.30) across all cows included in the study. The estimated Sp was generally higher than the original 80%, but the corresponding Se was further decreased when the test was used in heifers compared with older cows. The true prevalence of ANEST in the study population was 27%, which gave a PV+ of 0.36 to 0.45 and a PV- of 0.76 to 0.79. With 35% true prevalence of DFAI, PV+ was 0.29 to 0.38 and PV- was 0.64 to 0.66. Thus, overall test performance was low when metabolic indicators measured as single values in early lactation were used to predict fertility in dairy cows, but accuracy was influenced by cow-level factors such as parity. The prevalence of the target condition (in this case, decreased fertility) also influences test usefulness and should be considered when planning test systems and interpreting test results.

Supplemental feeding with glycerol or propylene glycol of dairy cows in early lactation--effects on metabolic status, body condition, and milk yield.

The objective of this field study was to evaluate the effect of supplemental feeding with glycerol or propylene glycol to dairy cows in early lactation on metabolic status, body condition and milk yield. In total, 673 newly calved cows from 12 commercial Swedish dairy herds were randomized to daily supplementation with 450 g of glycerol (GLY), 300 g of propylene glycol (PG), or nothing (control, CON). Supplements were fed twice daily from 0 to 21 d in milk (DIM) as a top dress on concentrates. For each cow, data on parity, breed, calving date, monthly test-day milk yield, and cases of diseases were collected. Blood samples were taken at approximately 2, 5, and 8 wk postpartum (pp) and analyzed for glucose, ß-hydroxybutyrate (BHBA), nonesterified fatty acids (NEFA), and insulin. Samples taken within 3 wk pp were also analyzed for insulin-like growth factor 1 (IGF-1). Measurements of body condition score (BCS) and heart girth (HG) were obtained at approximately 2 and 5 wk pp and at time of first insemination. The effects of supplemental feeding with GLY or PG on the plasma concentrations of glucose, NEFA, BHBA, insulin, and IGF-1, and BCS, HG, and occurrence of disease were analyzed. No differences in BCS or HG or in plasma concentrations of glucose, BHBA, NEFA, or IGF-1 were found between the control group and any of the treatment groups. Cows in the GLY group had lower plasma insulin concentrations during DIM 0 to 63 compared with group CON, but no difference in insulin was found between the PG group and the CON group. Cows supplemented with GLY had a higher milk yield (kg of milk and kg of energy-corrected milk) during the first 90 DIM. Cows in the PG group tended to yield more milk during the same period. No differences in the occurrence of diseases were seen between the groups. In conclusion, supplementation with GLY in early lactation did increase milk yield without a subsequent decrease of metabolic status, and supplementation with PG tended to do the same.

Effect of supplemental feeding with glycerol or propylene glycol in early lactation on the fertility of Swedish dairy cows.

The aim of this field study was to evaluate the effect of supplemental feeding with glycerol (GLY) or propylene glycol (PG) during early lactation on the fertility of Swedish dairy cows. Within 17 commercial dairy herds, 798 cows were randomized to three groups that were daily fed supplements with 450 g GLY, 300 g PG or nothing (control, C). The supplements were given twice daily during 0-21 days in milk as a top dress on concentrates. Data on calving date, insemination dates, gynaecological examinations, as well as breed, parity and monthly milk yield were collected. From a subset of 308 cows in seven herds, milk samples for progesterone analysis were taken twice weekly and used to determine the time for onset of luteal activity. The effects of supplements on the intervals from calving to first luteal activity (FLA), first AI (FAI) and conception (CON), respectively, were analysed using semi-parametric survival models (Cox proportional hazards models) controlling for the effect of parity, breed, calving season, milk yield and the clustering effect of herd. There was no difference in time to FLA between the cows in group C and in group GLY or PG. No differences in time to FAI or in time to CON were found between cows in group PG and group C. However, cows in the GLY group tended to get their FAI later compared with cows in the control group but without at subsequent delaying of time to CON.