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an epidemiological study of listeriosis in dairy cattle

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groups were excluded from <strong>an</strong>alysis. In calculat<strong>in</strong>g the with<strong>in</strong> herd <strong>in</strong>cidence rates for the<br />

different cl<strong>in</strong>ical signs those cases where cl<strong>in</strong>ical signs were not reported were excluded<br />

from the <strong>an</strong>alysis.<br />

Three alternatives were given for the diagnosis <strong>of</strong> the disease; veter<strong>in</strong>ary surgeon,<br />

veter<strong>in</strong>ary <strong>in</strong>vestigation centre (V.I.C) or self diagnosis. In order to validate diagnosis by<br />

farmers, they were asked to select the cl<strong>in</strong>ical signs <strong>of</strong> <strong>listeriosis</strong> from a list <strong>of</strong> eight cl<strong>in</strong>ical<br />

signs, two commonly associated with <strong>listeriosis</strong> (nervous sign <strong>an</strong>d silage eye-<br />

keratoconjunctivitis), four occasionally associated with the disease (abortion, sudden death,<br />

diarrhoea <strong>an</strong>d mastitis) <strong>an</strong>d the rema<strong>in</strong><strong>in</strong>g two not l<strong>in</strong>ked to <strong>listeriosis</strong> (lameness,<br />

pneumonia). The criterion validity (Abramson 1988) <strong>of</strong> “self diagnoses” was made by<br />

compar<strong>in</strong>g the report<strong>in</strong>g <strong>of</strong> cl<strong>in</strong>ical signs by farmers with the comb<strong>in</strong>ation <strong>of</strong> veter<strong>in</strong>ary<br />

surgeon or V.I.C. diagnoses. The questionnaire was also externally validated us<strong>in</strong>g data on<br />

the frequency <strong>of</strong> <strong>listeriosis</strong> collected by Central Veter<strong>in</strong>ary Laboratory (CVL) dur<strong>in</strong>g<br />

statutory Bov<strong>in</strong>e Spongiform Encephalopathy (BSE) report<strong>in</strong>g between July 1994 <strong>an</strong>d June<br />

1995.<br />

Information about the month <strong>of</strong> illness, treatment <strong>an</strong>d its outcome was also<br />

collected. Cases reported to occur over a period <strong>of</strong> two or more months were divided<br />

equally between the months <strong>in</strong> order to estimate their seasonal <strong>an</strong>d monthly distribution.<br />

Those cases where no month <strong>of</strong> diagnosis was given were excluded from <strong>an</strong>alysis. Cases<br />

where cl<strong>in</strong>ical signs <strong>an</strong>d treatment were not <strong>in</strong>dicated were also excluded from <strong>an</strong>alysis.<br />

2. 2. 5. Data process<strong>in</strong>g <strong>an</strong>d <strong>an</strong>alysis:<br />

49

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