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an epidemiological study of listeriosis in dairy cattle

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CHAPTER 3<br />

The relationship between farm m<strong>an</strong>agement practices <strong>an</strong>d<br />

cl<strong>in</strong>ical <strong>listeriosis</strong> <strong>in</strong> <strong>dairy</strong> <strong>cattle</strong> <strong>in</strong> Engl<strong>an</strong>d: univariate<br />

3. 1. Introduction:<br />

<strong>an</strong>alysis<br />

Infectious disease is the result <strong>of</strong> a complex set <strong>of</strong> <strong>in</strong>teractions between the<br />

<strong>in</strong>fectious agent, host <strong>an</strong>d environment. The <strong>in</strong>fectious agent is <strong>an</strong> essential component<br />

<strong>of</strong> disease but it may not be sufficient to trigger disease on its own. Other factors are<br />

also needed for disease to develop. Listeriosis is a good example <strong>of</strong> this disease process.<br />

Listeria org<strong>an</strong>isms (ma<strong>in</strong>ly L. monocytogenes) are necessary causative agents <strong>of</strong><br />

disease but the isolation <strong>of</strong> L. monocytogenes from the bra<strong>in</strong> (Gronstol 1980b) <strong>an</strong>d<br />

faeces (Husu 1990) <strong>of</strong> healthy <strong>in</strong>dividuals suggests that other factors are also <strong>in</strong>volved.<br />

Some other risk factors have been identified both <strong>in</strong> epidemic <strong>an</strong>d sporadic cases <strong>of</strong><br />

hum<strong>an</strong> <strong>listeriosis</strong>; various physiological states <strong>of</strong> host such as extremes <strong>of</strong> age <strong>an</strong>d<br />

pregn<strong>an</strong>cy (Ciesielski <strong>an</strong>d others, 1988), underly<strong>in</strong>g conditions such as c<strong>an</strong>cer (Niemen<br />

<strong>an</strong>d Lorber 1980), immunosuppression, such as HIV <strong>in</strong>fection (Jurado <strong>an</strong>d others 1993),<br />

org<strong>an</strong> tr<strong>an</strong>spl<strong>an</strong>tation (Lorber 1990) <strong>an</strong>d concurrent <strong>in</strong>fections (Rocourt 1996). However<br />

less is known about the risk factors associated with <strong>listeriosis</strong> <strong>in</strong> <strong>an</strong>imals. The<br />

association between silage feed<strong>in</strong>g <strong>an</strong>d the occurrence <strong>of</strong> Listeriosis is well documented<br />

(Gray 1960a, Wilesmith <strong>an</strong>d Gitter 1986, Fenlon 1988, Sargison 1993) but the exact<br />

65

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