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an epidemiological study of listeriosis in dairy cattle

an epidemiological study of listeriosis in dairy cattle

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with others (K<strong>an</strong>uk <strong>an</strong>d Berenson 1975, Vaill<strong>an</strong>court <strong>an</strong>d others 1991). Farmer<br />

questionnaires are particularly useful when the disease is easily visible or has dist<strong>in</strong>ct<br />

cl<strong>in</strong>ical signs. In previous studies we have taken adv<strong>an</strong>tages <strong>of</strong> this to estimate the<br />

prevalence <strong>of</strong> blowfly strike (French <strong>an</strong>d others 1992) <strong>an</strong>d Johne`s disease (Cet<strong>in</strong>kaya <strong>an</strong>d<br />

others 1996). Listeriosis differs from these diseases by m<strong>an</strong>ifest<strong>in</strong>g itself by three different,<br />

rarely overlapp<strong>in</strong>g, syndromes; encephalitis, septicaemia <strong>an</strong>d abortion. In spite <strong>of</strong> this we<br />

considered that three aspects <strong>of</strong> <strong>listeriosis</strong> would make it suitable for a farmer based<br />

questionnaire; its sporadic occurrence, the likelihood that a veter<strong>in</strong>ari<strong>an</strong> would be <strong>in</strong>volved<br />

<strong>in</strong> diagnosis <strong>an</strong>d its dist<strong>in</strong>ctive name (reviewed by Radostits <strong>an</strong>d others 1994).<br />

A key component <strong>in</strong> the use <strong>of</strong> questionnaires as measur<strong>in</strong>g <strong>in</strong>struments is the<br />

repeatability <strong>an</strong>d validity <strong>of</strong> these measures.<br />

In this <strong>study</strong> we have no measure <strong>of</strong> repeatability but we attempted to validate the<br />

questionnaire <strong>in</strong> three ways; by ask<strong>in</strong>g for the method <strong>of</strong> diagnosis <strong>an</strong>d stratify<strong>in</strong>g the<br />

results to <strong>in</strong>clude only those cases diagnosed by a veter<strong>in</strong>ari<strong>an</strong> or V.I.C.; by ask<strong>in</strong>g farmers<br />

to identify the cl<strong>in</strong>ical signs <strong>of</strong> <strong>listeriosis</strong> from a list which <strong>in</strong>cluded signs which were not<br />

typical <strong>of</strong> <strong>listeriosis</strong> <strong>an</strong>d by compar<strong>in</strong>g the proportion <strong>of</strong> culled nervous cases <strong>of</strong> <strong>listeriosis</strong><br />

<strong>in</strong> our <strong>study</strong> with the proportion <strong>of</strong> nervous <strong>listeriosis</strong> diagnosed at necropsy dur<strong>in</strong>g<br />

statutory BSE report<strong>in</strong>g where cows show<strong>in</strong>g <strong>an</strong>y nervous disorder had to be culled dur<strong>in</strong>g<br />

the same period as our <strong>study</strong> covered. The majority <strong>of</strong> the cases were diagnosed by a<br />

veter<strong>in</strong>ari<strong>an</strong> or V.I.C.. On 83.9% <strong>of</strong> farms report<strong>in</strong>g cases between July 1994 <strong>an</strong>d June 1995<br />

diagnoses were made by veter<strong>in</strong>ari<strong>an</strong> or V.I.C.. When these data were used to calculate the<br />

farm prevalence, the results were with<strong>in</strong> the confidence limits <strong>of</strong> the overall estimates <strong>an</strong>d<br />

did not statistically differ from them. When we asked farmers to identify cl<strong>in</strong>ical signs <strong>of</strong><br />

<strong>listeriosis</strong> the sensitivity <strong>of</strong> farmers report<strong>in</strong>g a s<strong>in</strong>gle correct cl<strong>in</strong>ical sign was low ( r<strong>an</strong>ge<br />

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