Use of herd health programs has become an essential part of managing a dairy farm as not only
does application of such a program bring economic return, there are outside interests from product
consumers that are asking questions regarding animal well-being, animal care and management
practices and risk potential for residues in their food. This presentation will provide an overview of
disease conditions present on dairy farms in the U.S. and how prevention practices in a herd health
program have been applied to the dairy farm to reduce their incidence and economic impact.
Practices used to address disease in farmed animals go back for more than 100 years in the
domestication of food producing animals. In the early stages (prior to 1940’s) individual animals were
diagnosed and treated to the best of one’s ability given there were no antibiotics available. Most
significant animal health concerns were those with zoonotic potential and thus governmental programs
were enacted in an effort to eradicate the disease through methods of vaccination, testing and culling as
applicable. Following the initial availability of antibiotics in the 1940’s and recognized value to selling
animal-based products, more emphasis was placed on properly diagnosing individual animal disease
conditions and instituting appropriately documented therapeutic intervention.
In the mid 1960’s both producers and veterinarians recognized benefits of preventive health and
improved production. Diagnostic capabilities and therapeutic interventions (including aseptic surgery)
were being instituted as well as early stages of organized health programming. Focal areas such as
mastitis control and reproductive evaluations became the cornerstone for routinely scheduled health
programs. Organized preventive programs expanded with more proactive vaccination and parasite
control practices as biologic and therapeutic agents become available. However, much of the early
development of organized herd health programs continued to be based on individual animal disease
diagnosis and treatment, but expanded to the herd as a whole. Over the ensuing decades, herd health
programs continued to evolve in expanding to more records analysis as a means to recognize problems
as well as to evaluate the economic impact or return from intervention. The main protagonists of these
programs were the producer and veterinarian with minimal input from consultants.
Later in the 1990’s as herd health programs continued to be refined, a shift in the paradigm
occurred where the basis of the program was more the herd and its collective performance rather than
the individual animal. As this evolution continues into the 21st Century, veterinarians are becoming more
herd consultants than primary care givers. Economics of agricultural production has dictated a greater
need for less individual animal diagnosis and care by the veterinarian with this activity being replaced by
appropriately trained farm workers. Thus the role of the veterinarian is changing from traditional
modalities. As we continue to evolve into what is now termed production or performance medicine,
veterinarians need to be versed in non-traditional roles of personnel training, records evaluations,
facility design and impact and nutritional management and monitoring. Much of the decision process for
intervention will be made not on an individual animal basis, but herd-based productivity and economic
assessment through extensive records analysis and continued monitoring.
Disease Challenges in Dairy Herds
In essence disease concerns within the dairy herd have both stayed the same and somewhat
evolved with herd health programs. In U.S. dairy herds governmental programs to eradicate both
brucellosis and tuberculosis have come to fruition with only sporadic flare-ups in regional trouble-spots.
Because of the successful brucellosis program, calfhood vaccination is no longer mandatory in nearly all
U.S. states. Tuberculosis remains a challenge in the upper Midwest due to biosecurity breeches with
wildlife interactions. Mastitis remains the single most common and costly disease in dairy production.
This is closely followed by lameness and reproductive infertility in current dairy production systems.
These assessments are reflected in the 2007 National Animal Health Monitoring System (NAHMS) report
(see Figures 1 and 2; NAHMS, 2007). One must be cautious in interpreting these data as they are based
on producer diagnosis and not veterinary diagnosis. Additionally, some cows may have fit into more
than one category.
Figure 1. Data from NAHMS, 2007 report on producer identified health problems in dairy cows
(USDA. 2007. Dairy 2007, Part I: Reference of Dairy Cattle Health and Management
Practices in the United States, 2007 USDA-APHIS-VS, CEAH. Fort Collins, CO, #N480.1007).
Figure 2. Data from NAHMS, 2007 report on producer reasons for cows being removed from the
dairy (USDA. 2007. Dairy 2007, Part I: Reference of Dairy Cattle Health and Management
Practices in the United States, 2007 USDA-APHIS-VS, CEAH. Fort Collins, CO, #N480.1007).
Postpartum diseases have not really changed much in their overall prevalence, though the
incidence of specific diseases has changed slightly over the years (Table 1). With increasing productivity
today’s dairy cows experience more problems with ruminal acidosis, lameness and displaced abomasum
than in the past; a consequence of high grain feeding. Recent studies have shown that more than 50% of
all calving cows will experience one or more disease event postpartum. This lack of effective change in
disease may be the result of increasing herd size as well as greatly improved diagnostics and recognition
of subclinical forms of disease (i.e., metritis, hypocalcemia, ketosis). Recent work over the past decade
has shown that subclinical forms of disease, namely hypocalcemia, ketosis and endometritis, are much
more prevalent disease processes compared to the clinical disease process. Subclinical diseases are
defined by specific criteria such as blood calcium or beta-hydroxybutyrate (BHB) concentration or
percent inflammatory cells. Specific thresholds were defined based on significant association with
impaired performance when compared to other cows not having met the defined threshold. For
example, cows having prepartum or postpartum blood calcium concentration below 2.0 mmol/L were
3.8 and 4.0 times more likely, respectively, to have some postpartum disease process (Van Saun et al.,
2005). Chapinal and colleagues (2012) reported a greater risk for displaced abomasum, lower milk
production and reduced risk for pregnancy at first insemination when cows had < 2.1 mmol/L blood
calcium in the two weeks surrounding calving. Although effects of subclinical disease are somewhat
subtle, the impact of their presence is felt through the much higher prevalence rate within a herd
compared to clinical disease.
Table 1. Summarized postpartum disease incidence risks and associated disease event costs
(adapted from Kelton et al., J Dairy Sci 1998;81:2502-2509 and other sources).
Subclinical
22 8-54 $125
hypocalcemia
Retained fetal
8.6 1.3-39.2 $285
membranes
Subclinical
53 37-74 ???
endometritis
Displaced
1.7 0.3-6.3 $340
abomasum
The foundation of the “performance medicine” approach to herd health programs is that all
decision making is guided by economic assessments. To properly utilize such an approach one needs to
use a benchmarking process to critically evaluate the state of the different enterprises (milking system,
youngstock, reproduction, nutrition, transition cow, etc.) that comprise the complete dairy herd. To
critically evaluate different aspects of the dairy herd to identify the “weak links” or “bottlenecks” of
productivity and efficiency, one needs to have target criteria for comparison to current status. Table 2
provides some examples of target and intervention level criteria in assessing various aspects of the dairy
farm. The intervention level is a point where some change to improve the situation needs to be enacted
as the herd is most likely losing money. To properly use such an approach the dairy farm must collect
and maintain sufficient and accurate records of all productive enterprises. The ongoing monitoring
Table 2. Suggested target goals and intervention levels for various production, reproduction and
health parameters on the dairy farm (modified from Reneau J, Kinsel M. Record systems and
herd monitoring in production-oriented health management programs, 2001).
In organizing a tailored herd health program to address herd productivity and health, there are a
number of management area components that can be built into a comprehensive herd health program
specifically addressing the concerns of a given dairy as identified in the process described above.
Organization of the scheduled herd health program will depend upon the herd and capabilities of farm
workers, but should comprise the following scheduled activities:
• Sick cow evaluations and treatment, emergency calls – veterinarian’s role will depend
upon farm worker competency and skill level
• Reproductive exams, body condition scoring, vaccinations, other procedures –
veterinarian’s role may vary farm to farm based on worker competency and skill level
• Analytic evaluations (records assessment, 5-Key performance indicators, goals,
performance reviews), ongoing staff trainings and protocol modifications or
development – Primary function of veterinarian
• Quality control assessments – nutrition, youngstock, milking performance – Primary
function of veterinarian
As indicated above, the veterinarian’s primary role in a performance medicine based herd health
program is to provide the critical assessments to farm records to evaluate and monitor overall
performance and identify potential areas of concern. Additionally, the veterinarian would provide
service in training of work staff on basic procedures and how to follow designed protocols. Monitoring
of quality control for key management areas relative to nutritional program, youngstock development
and milking procedures is fundamental to assessing consistency within herd procedures. The following
are brief descriptions of activities that might be associated with these different management areas and
associated standard operating procedures (SOP) or protocols for describing worker activities as well as
specific records monitoring in assessing performance.
Protocols: Dry cow treatment; Calving management; Newborn calf care; Fresh cow
examinations; Specific disease treatment protocols; Colostrum feeding;
Monitoring: Somatic cell count changes over dry period; Fresh cow disease prevalence;
Colostrum feeding adequacy; Calf survival; Calving scores; Start-up milk yield and
composition;
Monitoring: Milking efficiency: milking time, parlor throughput, milk per worker hour; Milk
quality: SCC, bulk tank milk measures (SPC, PIC); Clinical mastitis prevalence; Teat
scoring; Milking machine evaluations
Reproductive Management
This management area is often the one most readily recognized as this was the basis of herd
health programs in the past. Palpation of cows to stage estrous cycle and potential for breeding was the
foundational component of veterinary activity on the dairy farm. It is well recognized that reproductive
performance of the collective dairy herd has declined over that past few decades in concert with an
increase in milk yield. As a result, more emphasis must be placed on achieving timely and successful
breeding of the dairy herd to maintain profitability. Research has provided some opportunities to better
management reproductive performance of the dairy herd through estrous synchronization programs,
though these bring some challenges.
Protocols: Heat detection; Synchronization programs: injection timing and compliance; Disease
monitoring and treatment (metritis);
Protocols: Newborn calf care (navel dipping, identification); Calf colostrum feeding; Calf
colostrum absorption status (total protein by refractometer); Liquid feeding practices;
Cleaning practices for calf feeding utensils; Disease management and treatment
protocols (preweaned calves, heifers); Weaning practices; Heifer estrus detection and
breeding;
Monitoring: Calf and heifer mortality and morbidity rates; Heifer growth (height and weight)
monitoring; Age at first breeding and calving; financial costs for raising calf to weaning
or heifer to calving;
Disease Management
Application of disease management practices can be incorporated into other respective
management areas such as transition cows or youngstock. Overall disease control programs should be
managed by the herd veterinarian and titrated to specific disease concerns identified for the herd.
Disease management should be comprised of a recommended vaccination protocol, parasite control
program and herd biosecurity practices. All disease prevention programs for the herd should be based
on identified disease concerns and not a blanket approach using most or all of the available commercial
vaccines. Parasite control practices are essential for calves and heifers, but may also include cows on
pasture. Biosecurity practices should be developed to prevent disease entry to the farm and minimize
disease transference around the farm.
Protocols: Vaccine program for various groups of animals; Parasite control programs for animal
groups; Biosecurity practices for various management areas and collectively for the
farm; Handling protocols for therapeutic compounds used in each of the vaccine and
parasite control programs;
Monitoring: Disease morbidity rates; Diagnostic screening tests for specific disease entities;
Nutritional Monitoring
The nutritional program for the farm is most often overseen by a consulting nutritionist, either
working independently or in association with a feed company. The veterinarian can play an important
role as an independent agent monitoring the consistency of the feeding program. The veterinarian has
direct assessment of disease status and reproductive performance that are good proxy monitors of the
quality and adequacy of the nutritional program.
Protocols: Body condition scoring; feed mixing practices; feed delivery practices; feedbunk
management; feed ingredient sampling and testing; TMR audit process; feed equipment
maintenance; ensiled feed evaluation and inventory; feed ingredient inventory, dry
matter determinations of ensiled feeds
Monitoring: Body condition changes; milk yield and composition production by groups; blood
testing for metabolic disease prevalence; metabolic disease prevalence; changes in feed
delivery rates; particle size distribution of mixed, delivered and refused feed; Dry matter
intake by pens; inventory shrink;
Records Analysis
The entire performance medicine approach to herd health is predicated on the utilization of
records to assess the current status and monitor changes following implementation of some planned
change. Obviously within each management area there will be some need to analyze records to make an
assessment of the situation. Records could be based on Dairy Herd Improvement data generated for
each farm or from farm-based computerized records systems.
In using records to identify potential problem areas, five key performance indicators (KPI) have
been developed as a first general screen of farm productive status. These KPI include milk production
per day (milking cows), average days in milk for the herd, herd somatic cell count, pregnancy rate and
culling (turnover) rate. Criteria (Table 2) or goals have been established to interpret individual herd
values for the KPI. If a herd does not meet the established goal, then this directs further investigation
into potential specific causes of the abnormal KPI. One or more KPI might not be with the target goals. In
using this approach it helps to narrow down the further investigation process and hopefully improve the
time frame in which corrective actions might be enacted.
References
Chapinal N, LeBlanc SJ, Carson ME, et al. 2012. Herd-level association of serum metabolites in the
transition period with disease, milk production, and early lactation reproductive performance. J
Dairy Sci 95:5676–5682.
Kelton DF, Lissemore KD, Martin RE. 1998. Recommendations for recording and calculating the incidence
of selected clinical diseases of dairy cattle. J Dairy Sci 81(10):2502-2509.
Nordlund K. 2005. GoalForm version 23. Food Animal Production Medicine, University of Wisconsin,
http://www.vetmed.wisc.edu/dms/fapm/fapmtools/1econ/Goal-Form23.pdf (accessed Aug 18,
2013).
Reneau JK, Kinsel ML. 2001. Records systems and herd monitoring in production-oriented health
management programs in food producing animals. In Radostits OM, ed. Herd Health: Food
Animal Production Medicine, 3rd ed., WB Saunders: Philadelphia, pp 107-146.
Ruegg PL. 2001. Health and production management in dairy herds. In Radostits OM, ed. Herd Health:
Food Animal Production Medicine, 3rd ed., WB Saunders: Philadelphia, pp 211-254.
USDA. 2007. Dairy 2007, Part I: Reference of Dairy Cattle Health and Management Practices in the
United States, 2007 USDA-APHIS-VS, CEAH. Fort Collins, CO, #N480.100
Van Saun RJ, Todd A, Varga GA. 2005. Serum mineral concentrations and risk of periparturient disease.
Proc Am Assoc Bov Pract 38:178-179.
Other Resources
Radostits OM. 2001. Herd Health: Food Animal Production Medicine, 3rd ed., WB Saunders: Philadelphia,
PA, 884 pages (ISBN 0-7216-7694-4).
Risco C, Melendez Retamal P. 2011. Dairy Production Medicine, Wiley-Blackwell: Ames, IA, 380 pages
(ISBN 978-0-8138-1539-8).
Green M (ed). 2012. Dairy Herd Health, CABI: Oxfordshire, UK, 312 pages (ISBN 978-1-84593-997-1).
• UW-SVM Dairy Production Medicine GOALFORM Version 23: Ken Nordlund, July 20, 2005
REPLACEMENT HEIFERS
LOSSES DUE TO EXCESS HEIFER MORTALITY
(Total dead)
$
_______________ = 0.______ - .09 = 0._______ x __________ x ___________ =
Death Goal Excess Population Avg. value Annual loss
Population at risk) rate deaths at risk to excess deaths
$
(_______________________ x ________________ ) x ____________________ =
No. Heifers enter herd/year Lbs milk lost Milk price per lb Annual production loss
to undersized heifers
CULLING
Weighted average cull value: Class No. Value Total
Dairy sales _______ $_______ $________
Culls _______ _______ ________
Deads _______ _______ ________
Wtg Average Cull Price = Sum of all animals sold / number sold =____________
UDDER HEALTH
PRODUCTION LOSSES DUE TO SUBCLINICAL MASTITIS
______________ x _____________ =
$
Total Lbs Lost Milk price per lb Annual production loss
to subclinical mastitis
Maximum SCC premium from your milk plant: $ 0. _____ per cwt ( at 150,000 SCC)
Average quality premium received last year: $ 0. _____ per cwt (avg SCC past year = ______________ )
The average mastitis flareup will cost $107, as a combination of $12 in medication, $90 in discarded and decreased milk, $2
in veterinary cost, and $3 in labor. (Hoblet, NMC 1991)
GENETICS
MILK SALES LOST DUE TO MILKING LATER AND LOWER IN LACTATION CURVE
$
(___________ - 160 ) x ___________ x 0.17 x $_________/ lb x 365 days x 0.89 =
Rolling ADIM days Rolling # Cows lb/day* Milk price %DIM Annual loss to long DIM
* Western Regional Ext. Pub. 0067
PRODUCTION LOSS DUE TO LONG DRY PERIODS
Culling
Excess cull rate
Mastitis
Subclinical mastitis
SCC Premiums
Genetics
PTA$ relative to top herds
Reproduction
High rolling days-in-milk
Nutrition
Peak milk opportunities
Total
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MANAGEMENT GOALS
1._________________________________________________________________________________________________
2._________________________________________________________________________________________________
3._________________________________________________________________________________________________
4._________________________________________________________________________________________________
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