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an epidemiological study of listeriosis in dairy cattle

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from 3.1% to 67.2%) but it was high when three correct signs were exam<strong>in</strong>ed (96.1%). This<br />

may <strong>in</strong>dicate that the farmers were poor at self diagnosis or alternatively they were only<br />

report<strong>in</strong>g the cl<strong>in</strong>ical signs seen <strong>in</strong> cases on their farm. On the majority <strong>of</strong> farms only one<br />

type <strong>of</strong> cl<strong>in</strong>ical sign was seen. However, <strong>in</strong> view <strong>of</strong> the fact that there was no signific<strong>an</strong>t<br />

difference between the overall proportion <strong>an</strong>d those estimates based on veter<strong>in</strong>ari<strong>an</strong> <strong>an</strong>d<br />

veter<strong>in</strong>ary <strong>in</strong>vestigation centre diagnoses we do not consider that the farmers’ misdiagnoses<br />

<strong>in</strong>troduced bias <strong>in</strong>to the results. The failure <strong>of</strong> farmers to recognise cl<strong>in</strong>ical signs other th<strong>an</strong><br />

nervous disease <strong>an</strong>d to call a veter<strong>in</strong>ari<strong>an</strong> may have resulted <strong>in</strong> <strong>an</strong> underestimation <strong>of</strong> true<br />

prevalence. As a further validation measure the proportion <strong>of</strong> <strong>cattle</strong> with nervous signs<br />

culled or died <strong>in</strong> this survey was compared with confirmed Listeria cases submitted to CVL<br />

as suspect BSE cases. Those proportions were remarkably similar. The close similarity <strong>of</strong><br />

the results adds credence to the results <strong>of</strong> this survey.<br />

The <strong>in</strong>fluence <strong>of</strong> non-respondents was not measured but <strong>an</strong> effort was made to<br />

maximise the response rate by send<strong>in</strong>g a number <strong>of</strong> rem<strong>in</strong>ders to the farmers. The 64.1%<br />

response rate was good for the size <strong>of</strong> samples used <strong>in</strong> this <strong>study</strong> (Vailloncourt <strong>an</strong>d others<br />

1991). However, when compared with the two recent surveys conducted by our group <strong>in</strong><br />

which response rates were 74.2% <strong>an</strong>d 78.3% (French <strong>an</strong>d others 1992, Cet<strong>in</strong>kaya <strong>an</strong>d others<br />

1996) the response rate was lower. The difference <strong>in</strong> the length, format <strong>an</strong>d content <strong>of</strong> the<br />

questionnaire might have contributed to this lower response rate (del Garso <strong>an</strong>d Wallop<br />

1975). Our questionnaire consisted <strong>of</strong> 8 pages <strong>an</strong>d 50 questions, where as Cet<strong>in</strong>kaya <strong>an</strong>d<br />

others (1996) used 39 questions on 5 pages <strong>an</strong>d French <strong>an</strong>d others (1992) used 15 questions<br />

on 2 pages.<br />

At farm level, Listeriosis <strong>in</strong> milk<strong>in</strong>g cows was reported more frequently th<strong>an</strong> <strong>in</strong><br />

other groups <strong>of</strong> <strong>an</strong>imals. However with<strong>in</strong> the affected herds the highest <strong>in</strong>cidence <strong>of</strong> disease<br />

62

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