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Oh Crap!
      More on Johne’s
                   Dr. Greg Keefe
Dr. Shawn McKenna, AJDI Steering Committee, AJDI
 Scientific Committee, Norman Wiebe and Dr. Karen
                MacDonald-Phillips
Outline
   Reacquainting with Johne’s
   Other programs
   Atlantic Johne’s Disease Initiative
   Results to date
   Take home and a challenge
Overview of Disease
   Johne’s Disease (Yo-nees), Paratuberculosis
      Mycobacterium avium subspecies paratuberculosis (MAP)

   Chronic, Infectious Enteritis
       Milk production losses
       Premature culling
       Reduced fertility
       Diarrhea and emaciation




                                           Photos courtesy of
                                            www.johnes.org
Transmission of Infection
   Ingest material contaminated with MAP
      Young Calves
          Manure of mature infected cow
          Colostrum and milk



       MAP is hardy



   Uninfected Herds
       Purchase of infected cow
Diagnosis
   Tip of the Iceberg Effect                 Clinical
                                               Cow




                                Subclinical Cows
                                 Infected Calves
Calf              Heifer         Infected cow        Clinical cow
   High risk of         Incubating         May shed            Shedding
    infection
                         Low risk of     No overt signs      Chronic weight
Fecal oral infection   infection/shed                             loss
                                        Lower production
  Colostrum risk       No overt signs                           Diarrhea
No outward signs                                            Lower production




           Median age between infection and shedding is 5   years
          Most animals get culled for low production before clinical
Why Johne’s
     Economics
          Decreased milk production
          Culling and repro
UK study Sibley, Orpin, Pearce (ICP 2012)
                                    Mean 305 day yield (Kg)   Calving to conception
Whole herd current lactation               10,203                      106
Whole herd previous lactation              10,130                      102
Test positive in current lactation         9,424                       136

          For 3rd lactation predicted production was 10,059 Kg and actual
           was 8,562 Kg
     Cattle movement
          Infection reservoir cows
          Movement = spread
     Market access
          Competitive advantage for local genetics
Neilsen ICP 2009
   Programs in US (State run with national
    standards)
   Programs in Australia
   Highlight
     Danish
     Dutch

     United Kingdom
Danish Program
   Initiated in 2006
   Voluntary                        2/4

   Aggressive milk ELISA testing
                                          1/4
       quarterly
   Risk management                 0/4

   29% of herd participate
Dutch Quality Assurance
   Initiated in 2006
   Initial categorization by milk ELISA
     Negative test every other year “A” status
     Positive test annually
          Cull positives = “B”
          Retain positives = “C”

   Mandatory 2010 – Mandatory “B” 2011
   Allow culture confirmation of positives
       50% of “B” become “A” with culture
   Driven by processors (and $ support)
UK System
   Modular biosecurity program
     Myhealthyherd.com
     Risk management based
            BVD, IBR, Leptospirosis, TB, Bluetongue, Johne’s
             and Neospora
   Johne’s module uses Danish system
       2500 herds enrolled (25%)
Canadian programs
Program Structure - all programs
   Voluntary
   4 Key Components:
       Education – All 4 programs – Most Important!

     Risk Assessment & Management Plan
     Testing – Different approaches

     Research – All 4 programs – variable funding
2010

       2007




              2011




2010
Quebec
   Pre- program: (2007-08)
       Continuing education (75% of all AMVPQ)
       Client awareness (conference and publications)
       Laboratory testing capacity and expertise
   Prevention (2008-present)
      Risk assessment (Y 1)

      Environmental cultures (Y 2)

   Individual animal testing
       Only if farmer agrees to not sell/move positives
       Affidavit/ATQ
Ontario
   4 KEY Components:
       Education of Dairy Producers, Veterinarians and
        Consumers
       Risk Assessment on EVERY dairy farm
        ANNUALLY….goal
       Optional Testing of entire milking herd (funded
        ONCE) over 4 years of program
       PERMANENT Removal of ALL HIGH positive
        cows
Ontario
Alberta
     Similar to Atlantic
     Risk Assessment-based
     Environmental culture funding
     35% participation in Year 1
                 0 +ve   1 +ve   2 +ve   3 +ve   4 +ve   5 +ve   6 +ve   Total
Frequency        136       15     8       4       2       7       5      177
Percentage        76       8      5       2       1       4       3      100
Ave. herd size   129       176   155     204     190     188     181



  Orsel et al., ICP 2012
Atlantic Johne’s Disease Initiative
      Goal
          Reduce the Johne’s disease prevalence in
           the Atlantic Canada dairy herds
      Program Pillars
        Education
        Infection control & prevalence reduction

        Research



MQM lab is USDA proficiency tested
   for 5 Johne’s diagnostics
Management Structure
   Steering committee
     DFNB (R. Dykstra – Chair)
     DFPEI (J. Bysterveldt – vice Chair – lead Board)

     DFNL (Dr. Pauline Duivenvoorden)

     DFNS ( Phillip Vroegh)

   Scientific committee
       Drs. Frank Schenkels, Brian Hicks, Vicki O’Leary
        John Drake
Funding partners
Program Launch
   Website (www.atlanticjohnes.ca)
   Direct Mailings
       Cowpies and brochures
   Media
   Regional Veterinarians
       47 Certified vets




Awareness        Economics   Biosecurity   Heifers
Education
   Advisors – vets
          Online
          Seminars
        Certification
          On farm

       Conference(s)


   Producers
       Web, Media, Mail Out
       Seminars
       One on One (vets)
Prevalence Reduction Program 2011-2014

               Herd Categorization
                     Voluntary
                    Fully funded
       Risk Assessment & Management Plan
               Required if herd tested
                    Fully funded
                    Cow Testing
        Voluntary - EC positive herds eligible
                   Partial funding
Herd Categorization
   Environmental Culture (EC)
       EC (-) versus EC (+)

   USDA-based protocol
       6 sites of well mixed manure
       Very prescriptive methodology
                                                        Norman Wiebe
   Third party collection of samples                    Coordinator

   Why Environmental Culture?
       No risk of false positives
       Herd sensitivity high
            Will not find all positive herds – no test will
100
   80
   60




                              Ability of EC to detect herds at
                              different prevalence rates
                              Good when over 2%
   40




                              Excellent once over 5%
   20
       0




           0            5                      10                  15
                Within Herd Test Prevalence (Fecal Culture)

                           Sensitivity           CI_low
                           CI_high




EC Se 71.4% (49.2%-86.5%)                     Courtesy of Carrie Lavers
When prevalence ≥5%, Se ≥90%
Cow Fecal Culture Se 19-53%
Risk Assessment & Management
   Plan (RA & MP = RAMP)
   Cornerstone of ALL Johne’s Programs
      Conducted only by AJDI certified vets



   Separate RA for EC (+) and EC(-) Herds
      Emphasis on external versus internal biosecurity



   Includes a Management Plan
      Individualized

      Best management practices



   Individual Cow Testing  EC (+)
Minnesota data
                           Fecal culture          Serum ELISA




                           Impact of risk management over
Espejo et al., ICP 2012
                           time on new infections in heifers
Register of EC Negative Herds
   Biosecurity - goal no animal transfers
   Total Voluntary

   Two Level Program
       EC negative level 1 (Entry)
            All 6 samples negative
            Must re-test in 10-14 months
       EC Negative level 2 (Maintenance)
            All 6 samples negative
            Must re-test every other year

   Loss of EC Negative Status:
       a) Any positive samples
       b) Re-test not on schedule
Project status

   Outputs to Date
     Enrollment of Herds
     Sampling and Diagnostics

     RAMP Recommendations
Enrollment in the AJDI
   1st Year Goal: 50% of Atlantic Canada’s herds
       Target of 347 herds
       364 herds enrolled as of March 24
          160.0%

          140.0%

          120.0%

          100.0%

          80.0%
                                             141.9%
          60.0%
                           106.9%   105.1%            105.1%
                   97.7%
          40.0%

          20.0%

           0.0%
                    NB      NS       PE       NL      Total

         Enrolment as a percent of initial goal
Project Outcomes

Value                   Number      Percent
Total Herds Enrolled    364 herds   105% of goal (53% of herds)
Total Herds Sampled     251 herds   69% of enrolled
Total Herds Diagnosed   195 herds   78% of sampled
Total EC (+)            39 herds    20% of diagnosed
Total RAMPS Received    108 herds   55% of diagnosed
RAMP Recommendations
      Max 3 Recommendations per RAMP
        Rank in order of importance
        Producer and vet must agree and sign MP

Recommendation                          Freq.   Rank 1   Rank 2   Rank 3
Animals are not purchased (closed herd)   62       37       12      13
>90% of calves removed <30 minutes        57       27       18      12
Colostrum and milk bottle/bucket fed      33       16       14       3
Non-saleable milk never fed to calves     21        6       6        9
No visitors or require clean clothing     21        4       9        8
Feed milk replacer/pasteurized milk       15        4       4        7
Calves born in designated calving area    14        5       6        3
No non-calving cows in calving area       13        3       7        3
Calf areas remote from cows/cow manure     9        2       4        3
Never more than a single cow in the        8       4        3       1
calving pen/area
Between herd biosecurity
1.3     Did you purchase animals in the last 5 years
   30   Yes, from multiple herds
   20   Yes, from two or less herds of unknown status
    7   Yes, from two or less herds of known negative herd status
    1   No animals have been purchased in the last 5 years
Comment: The introduction of infected animals from other infected herds is the way JD moves from herd to herd.
Introducing animals from multiple herds is associated with both an increased risk of introducing MAP, as well as with
having a higher percentage of the herd being test positive. If animals need to be purchased, buy from low risk herds
 (herds with a testing history). Tests of individual animals prior to purchase do not provide evidence of the infection
 status of that individual.
Calving pen and preweaning
2.7           What is the duration of exposure of the newborn calf to the cow?
        10    Less that 10% of calves are removed from the dam within 30 minutes
        7     Between 10 and 50% of calves are removed from the dam within 30 minutes
         4    Between 50 and 90% of calves are removed from the dam within 30 minutes
        1     More than 90% of calves are removed from the dam within 30 minutes


3.2           What is the source of colostrum fed to calves?


         10   Calves are fed pooled colostrum or colostrum from multiple cows
         5    Calves are fed colostrum from a cow other than their dam
         1    ALL calves are fed colostrum only from their mother or a single low risk donor cow

Comment: Colostrum can be a source of infection for calves if there are undetected shedding animals in the herd.
For negative or low prevalence herds (environmental culture negative), the most practical risk control is to fed colostrum
from one cow to one calf. Testing of the status of donor cows or dams should be within the last year.
Take home
   Johne’s is a worldwide issue
       Production, reproduction, culling
   Developed dairy countries have programs
       Testing is challenging but control of spread is
        understood
   Atlantic Canada has launched a very
    successful initiative
     Risk-based (between and within herd)
     Minimal testing
Last Call
   Funding allows for
    enrolment of 60% of
    herds
   Currently at 53%
   If you are on the fence
    now is the time to step
    up!
Thanks
   Norman, Art, Tasha, Maria & Marcelo
   Certified Vets & Registered Producers
   Steering Committee & Scientific Committee
   Funding Agencies

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Web dairy focus 2012x

  • 1. Oh Crap! More on Johne’s Dr. Greg Keefe Dr. Shawn McKenna, AJDI Steering Committee, AJDI Scientific Committee, Norman Wiebe and Dr. Karen MacDonald-Phillips
  • 2. Outline  Reacquainting with Johne’s  Other programs  Atlantic Johne’s Disease Initiative  Results to date  Take home and a challenge
  • 3. Overview of Disease  Johne’s Disease (Yo-nees), Paratuberculosis  Mycobacterium avium subspecies paratuberculosis (MAP)  Chronic, Infectious Enteritis  Milk production losses  Premature culling  Reduced fertility  Diarrhea and emaciation Photos courtesy of www.johnes.org
  • 4. Transmission of Infection  Ingest material contaminated with MAP  Young Calves  Manure of mature infected cow  Colostrum and milk  MAP is hardy  Uninfected Herds  Purchase of infected cow
  • 5. Diagnosis  Tip of the Iceberg Effect Clinical Cow Subclinical Cows Infected Calves
  • 6. Calf Heifer Infected cow Clinical cow High risk of Incubating May shed Shedding infection Low risk of No overt signs Chronic weight Fecal oral infection infection/shed loss Lower production Colostrum risk No overt signs Diarrhea No outward signs Lower production Median age between infection and shedding is 5 years Most animals get culled for low production before clinical
  • 7. Why Johne’s  Economics  Decreased milk production  Culling and repro UK study Sibley, Orpin, Pearce (ICP 2012) Mean 305 day yield (Kg) Calving to conception Whole herd current lactation 10,203 106 Whole herd previous lactation 10,130 102 Test positive in current lactation 9,424 136  For 3rd lactation predicted production was 10,059 Kg and actual was 8,562 Kg  Cattle movement  Infection reservoir cows  Movement = spread  Market access  Competitive advantage for local genetics
  • 9. Programs in US (State run with national standards)  Programs in Australia  Highlight  Danish  Dutch  United Kingdom
  • 10. Danish Program  Initiated in 2006  Voluntary 2/4  Aggressive milk ELISA testing 1/4  quarterly  Risk management 0/4  29% of herd participate
  • 11. Dutch Quality Assurance  Initiated in 2006  Initial categorization by milk ELISA  Negative test every other year “A” status  Positive test annually  Cull positives = “B”  Retain positives = “C”  Mandatory 2010 – Mandatory “B” 2011  Allow culture confirmation of positives  50% of “B” become “A” with culture  Driven by processors (and $ support)
  • 12. UK System  Modular biosecurity program  Myhealthyherd.com  Risk management based  BVD, IBR, Leptospirosis, TB, Bluetongue, Johne’s and Neospora  Johne’s module uses Danish system  2500 herds enrolled (25%)
  • 14. Program Structure - all programs  Voluntary  4 Key Components:  Education – All 4 programs – Most Important!  Risk Assessment & Management Plan  Testing – Different approaches  Research – All 4 programs – variable funding
  • 15. 2010 2007 2011 2010
  • 16. Quebec  Pre- program: (2007-08)  Continuing education (75% of all AMVPQ)  Client awareness (conference and publications)  Laboratory testing capacity and expertise  Prevention (2008-present)  Risk assessment (Y 1)  Environmental cultures (Y 2)  Individual animal testing  Only if farmer agrees to not sell/move positives  Affidavit/ATQ
  • 17. Ontario  4 KEY Components:  Education of Dairy Producers, Veterinarians and Consumers  Risk Assessment on EVERY dairy farm ANNUALLY….goal  Optional Testing of entire milking herd (funded ONCE) over 4 years of program  PERMANENT Removal of ALL HIGH positive cows
  • 19. Alberta  Similar to Atlantic  Risk Assessment-based  Environmental culture funding  35% participation in Year 1 0 +ve 1 +ve 2 +ve 3 +ve 4 +ve 5 +ve 6 +ve Total Frequency 136 15 8 4 2 7 5 177 Percentage 76 8 5 2 1 4 3 100 Ave. herd size 129 176 155 204 190 188 181 Orsel et al., ICP 2012
  • 20. Atlantic Johne’s Disease Initiative  Goal  Reduce the Johne’s disease prevalence in the Atlantic Canada dairy herds  Program Pillars  Education  Infection control & prevalence reduction  Research MQM lab is USDA proficiency tested for 5 Johne’s diagnostics
  • 21. Management Structure  Steering committee  DFNB (R. Dykstra – Chair)  DFPEI (J. Bysterveldt – vice Chair – lead Board)  DFNL (Dr. Pauline Duivenvoorden)  DFNS ( Phillip Vroegh)  Scientific committee  Drs. Frank Schenkels, Brian Hicks, Vicki O’Leary John Drake
  • 23. Program Launch  Website (www.atlanticjohnes.ca)  Direct Mailings  Cowpies and brochures  Media  Regional Veterinarians  47 Certified vets Awareness Economics Biosecurity Heifers
  • 24. Education  Advisors – vets  Online  Seminars Certification  On farm  Conference(s)  Producers  Web, Media, Mail Out  Seminars  One on One (vets)
  • 25. Prevalence Reduction Program 2011-2014 Herd Categorization Voluntary Fully funded Risk Assessment & Management Plan Required if herd tested Fully funded Cow Testing Voluntary - EC positive herds eligible Partial funding
  • 26. Herd Categorization  Environmental Culture (EC)  EC (-) versus EC (+)  USDA-based protocol  6 sites of well mixed manure  Very prescriptive methodology Norman Wiebe  Third party collection of samples Coordinator  Why Environmental Culture?  No risk of false positives  Herd sensitivity high  Will not find all positive herds – no test will
  • 27. 100 80 60 Ability of EC to detect herds at different prevalence rates Good when over 2% 40 Excellent once over 5% 20 0 0 5 10 15 Within Herd Test Prevalence (Fecal Culture) Sensitivity CI_low CI_high EC Se 71.4% (49.2%-86.5%) Courtesy of Carrie Lavers When prevalence ≥5%, Se ≥90% Cow Fecal Culture Se 19-53%
  • 28. Risk Assessment & Management Plan (RA & MP = RAMP)  Cornerstone of ALL Johne’s Programs  Conducted only by AJDI certified vets  Separate RA for EC (+) and EC(-) Herds  Emphasis on external versus internal biosecurity  Includes a Management Plan  Individualized  Best management practices  Individual Cow Testing  EC (+)
  • 29. Minnesota data Fecal culture Serum ELISA Impact of risk management over Espejo et al., ICP 2012 time on new infections in heifers
  • 30. Register of EC Negative Herds  Biosecurity - goal no animal transfers  Total Voluntary  Two Level Program  EC negative level 1 (Entry)  All 6 samples negative  Must re-test in 10-14 months  EC Negative level 2 (Maintenance)  All 6 samples negative  Must re-test every other year  Loss of EC Negative Status:  a) Any positive samples  b) Re-test not on schedule
  • 31. Project status  Outputs to Date  Enrollment of Herds  Sampling and Diagnostics  RAMP Recommendations
  • 32. Enrollment in the AJDI  1st Year Goal: 50% of Atlantic Canada’s herds  Target of 347 herds  364 herds enrolled as of March 24 160.0% 140.0% 120.0% 100.0% 80.0% 141.9% 60.0% 106.9% 105.1% 105.1% 97.7% 40.0% 20.0% 0.0% NB NS PE NL Total Enrolment as a percent of initial goal
  • 33. Project Outcomes Value Number Percent Total Herds Enrolled 364 herds 105% of goal (53% of herds) Total Herds Sampled 251 herds 69% of enrolled Total Herds Diagnosed 195 herds 78% of sampled Total EC (+) 39 herds 20% of diagnosed Total RAMPS Received 108 herds 55% of diagnosed
  • 34. RAMP Recommendations  Max 3 Recommendations per RAMP  Rank in order of importance  Producer and vet must agree and sign MP Recommendation Freq. Rank 1 Rank 2 Rank 3 Animals are not purchased (closed herd) 62 37 12 13 >90% of calves removed <30 minutes 57 27 18 12 Colostrum and milk bottle/bucket fed 33 16 14 3 Non-saleable milk never fed to calves 21 6 6 9 No visitors or require clean clothing 21 4 9 8 Feed milk replacer/pasteurized milk 15 4 4 7 Calves born in designated calving area 14 5 6 3 No non-calving cows in calving area 13 3 7 3 Calf areas remote from cows/cow manure 9 2 4 3 Never more than a single cow in the 8 4 3 1 calving pen/area
  • 35. Between herd biosecurity 1.3 Did you purchase animals in the last 5 years 30 Yes, from multiple herds 20 Yes, from two or less herds of unknown status 7 Yes, from two or less herds of known negative herd status 1 No animals have been purchased in the last 5 years Comment: The introduction of infected animals from other infected herds is the way JD moves from herd to herd. Introducing animals from multiple herds is associated with both an increased risk of introducing MAP, as well as with having a higher percentage of the herd being test positive. If animals need to be purchased, buy from low risk herds (herds with a testing history). Tests of individual animals prior to purchase do not provide evidence of the infection status of that individual.
  • 36. Calving pen and preweaning 2.7 What is the duration of exposure of the newborn calf to the cow? 10 Less that 10% of calves are removed from the dam within 30 minutes 7 Between 10 and 50% of calves are removed from the dam within 30 minutes 4 Between 50 and 90% of calves are removed from the dam within 30 minutes 1 More than 90% of calves are removed from the dam within 30 minutes 3.2 What is the source of colostrum fed to calves? 10 Calves are fed pooled colostrum or colostrum from multiple cows 5 Calves are fed colostrum from a cow other than their dam 1 ALL calves are fed colostrum only from their mother or a single low risk donor cow Comment: Colostrum can be a source of infection for calves if there are undetected shedding animals in the herd. For negative or low prevalence herds (environmental culture negative), the most practical risk control is to fed colostrum from one cow to one calf. Testing of the status of donor cows or dams should be within the last year.
  • 37. Take home  Johne’s is a worldwide issue  Production, reproduction, culling  Developed dairy countries have programs  Testing is challenging but control of spread is understood  Atlantic Canada has launched a very successful initiative  Risk-based (between and within herd)  Minimal testing
  • 38. Last Call  Funding allows for enrolment of 60% of herds  Currently at 53%  If you are on the fence now is the time to step up!
  • 39. Thanks  Norman, Art, Tasha, Maria & Marcelo  Certified Vets & Registered Producers  Steering Committee & Scientific Committee  Funding Agencies

Editor's Notes

  1. The disease is spread when calves ingest material contaminated with the MAP bacterium. Infection typically happens in the first few months of life. The main source of MAP on the farm is manure of mature infected animals. These cows seed the environment with the MAP bacterium directly through their feces. MAP is very hardy and survives heat, cold and drying for one year or longer. Calves come in contact with this manure through fecal contamination of feed or water. Infected dams can also be a source of MAP for calves through their colostrum and milk, or if the calf nurses a manure contaminated teat.For uninfected herds the main risk for introduction of the disease is the purchase of infected animals.
  2. Because of the slowly progressive nature of the disease, cattle can be infected for years before exhibiting clinical signs. Some infected animals may never exhibit clinical signs in their normal productive life times. While cattle exhibiting clinical signs shed the highest numbers of MAP, most infected animals will shed large numbers of MAP sporadically in their manure for months or years. The result is a “Tip of the Iceberg” phenomenon, where many animals in a herd can be infected with few or any showing clinical signs: One infected cow showing clinical signs can indicate 1-2 more cows sick, but not yet obvious (clinical), 6-8 cows infected, but not yet sick (sub clinical) and 10 to 15 infected calves and young stock that may develop the disease later on in life.The three common ways to test a herd for Johne&apos;s disease are: culture of fecal samples (individual or pooled; collected directly from the animal or the barn or pasture) to isolate MAP, direct PCR with the same type of samples to detect MAP DNA, and blood, or tests on blood or milk samples for antibodies by the animal in response to MAP infection.
  3. Johne’s disease has been in the dairy industry press a great deal over that last number of years and especially as other provinces began to move forward with individual education and control programs. In the past, Atlantic Canada has had strong participation both in researching Johne’s disease and developing a Voluntary National Control Program. However, it is time to move forward, on a regional basis with a Johne’s disease education and control initiative specifically for Atlantic Canada. A forum of industry leaders was organized with the goal of assessing other programs in Canada and exploring the development of a program for Atlantic Canada.The forum identified 4 reasons the industry needs to act with a control program.
  4. Herd testing will be conducted using culture of the bacterium, Mycobacterium avium paratuberculosis (MAP), from comingled manure sources in the dairy barn. This procedure, known as environmental culture (EC), determines, without risk of false positive results (100% specificity), the status of the herd. In other words, if the bacterium grows from the samples that are collected, we can be 100% certain that that MAP is present on the farm. This method has distinct advantages over herd assessment with immune tests (such as milk ELISA), where there is a risk that a false positive test can occur, mistakenly labelling a negative herd as infected. Both EC and individual animal ELISA testing have a slight risk of calling a herd with a small proportion of infected cows test negativeEnvironmental culture will be conducted using strict collection protocols based on the USDA recommended procedures. Six mixed manure samples will be collected from the prescribed locations by project personnel. Culture will be conducted at the Maritime Quality Milk Johne&apos;s research laboratory at the Atlantic Veterinary College.All samples are collected by project personnel to insure consistency. Laboratory results will be confidential and provided only to the designated AJDI certified veterinarian for interpretation and communication to the producer
  5. Sensitivity: 71.4% (49.2%-86.5%)Specificity: 98.6% (94.8%-99.6%)
  6. National Reference Centre for Mycobacteriology in Manitoba
  7. 3.4 Non-saleable milk is never fed to calves1.1 Visitors do not have access to the cattle or are required to wear clean footwear and clothing2.5 No calves are born outside the designated calving area/pen3.3 Calves are fed milk replacer or pasteurized milk only2.4 The calving area is never, ever, used by non-calving cows3.5 Calf housing and feeding is remote from cows, cow manure and any cow movement areas3.6 Mixing utensils and feed/water buckets are visibly clean and all are washed daily with soap and disinfectant