|

What is Johne's disease and what kind of animals get Johne's disease?
Johne's
(pronounced "Yo-nees") disease is a contagious bacterial disease of
the intestinal tract. A German veterinarian first described the disease in a dairy
cow in 1895; his name is used as the common name for the disease. The disease
is also called paratuberculosis. Visit the history page for detailed information.
Johne's
disease occurs in a wide variety of animals, but most often in ruminants. Ruminants
are hoofed mammals that chew their cud and have a four-chambered stomach. Some
of the more common ruminants are: cattle, sheep, goats, deer, antelope, and bison.
Johne's disease has been reported in all of these animals but is most commonly
seen in dairy cattle.
This website has information
specific to each of the animals Johne's disease is most common in. Chose the animal
under "area of interest" on the left.


What causes Johne's disease?
The
bacterium that causes Johne's disease is named Mycobacterium paratuberculosis:
often the name is abbreviated M. paratuberculosis. Microbial taxonomists
have suggested it should be renamed M. avium subsp. paratuberculosis
(MAP), and some publications use this name. It is a relative of the bacterium
that causes tuberculosis in humans and animals. M. paratuberculosis only
grows in animals: it can not grow and multiply in nature. However, if soil or
water is contaminated with this bacterium, it can survive over a year because
of its resistance to heat, cold and drying.
See the Biology of M. paratuberculosis
page of this site for more detailed information.


What are the signs of Johne's disease and
how can I tell if my herd has Johne's disease?
Animals
infected with M. paratuberculosis usually develop diarrhea and rapidly
lose weight. In general, Johne's disease is a wasting disease although infected
animals continue to eat well. Infected animals appear unthrifty, are often weak,
but they do not generally have a fever. The signs of Johne's disease can be confused
the signs with several other diseases like salmonellosis and bovine virus diarrhea
(BVD). Because of the slowly progressive nature of the infection, signs of Johne's
disease are usually not seen until animals are adults. In infected dairy cattle,
signs of Johne's disease commonly start within a few weeks after calving. In heavily
infected herds, however, signs of Johne's disease can occur in heifers prior to
calving.
Dairy
herds with Johne's disease may have an occasional animal with diarrhea or weight
loss, but a common complaint is that the herd production is going down or not
as high as it should be. Herd nutritionist sometimes notice the problem when herd
production is less than expected, given the quality of the feed and cows. As part
of a plan to determine the cause of low herd production, tests for Johne's disease
on several of the poor-doing animals should be considered.
See the diagnosis topic for
more information.


How common is Johne's disease in dairy cattle?
A
1996 national survey in the U.S. estimated that 22% of U.S. dairy
herds are infected. The full survey report can be found at:
http://www.aphis.usda.gov/vs/ceah/cahm/Dairy_Cattle/johnsart.htm
The U.S.
rate of dairy herd infection is similar to that reported in other countries using
similar tests: Netherlands (55%), Belgium (22%), Austria (7%), England and Wales
(17%), Denmark (47%), New Zealand (60%) and the state of Victoria in Australia
(22%). The herd infection rate in U.S. beef cattle is lower although not many
surveys have been reported. A 1997 survey
in the U.S. found that: 7.8% of beef herds were infected using the same survey
methods as for dairy cattle. Infection rates in beef cattle a most likely lower
than in dairy cattle due to differences in animal husbandry practices.


What causes the signs of Johne's disease?
M.
paratuberculosis infects part of the small intestine
called the ileum. There it causes a certain type of inflammation called granulomatous
inflammation. This inflammation thickens the intestinal wall, preventing it from
functioning normally. This leads to diarrhea and poor absorption of nutrients.
As a result, even though infected animals seem to be feeling and eating well,
they will rapidly lose weight.
See the Pathology topic
for detailed information.


How do animals get Johne's disease?
Johne's
disease typically enters a herd of animals when an infected, but
healthy-looking, animal is bought. The infection then spreads to
other animals without the owner's knowledge. Eventually, often after
several years, the owner recognizes signs of the disease in a number
of animals.
Individual
animals get infected most often when they are calves less than 6
months old. They get infected by consuming milk, water, or feed
contaminated with M. paratuberculosis. Young calves are far
more susceptible to infection than are adults. Ingestion of the
bacterium occurs when the newborn's environment is contaminated
with manure from an infected animal, or by drinking milk from an
infected animal. Feeding waste milk to calves is most responsible
for spread of Johne's disease in dairy herds. After infection, many
months or years go by until the infected animals shows signs of
Johne's disease.


How can you prevent your herd from getting Johne's disease?
The
best way to avoid this chronic infectious disease is to be as certain
as possible that replacement cattle brought into the herd are not
infected with M. paratuberculosis. This is not always easy
but laboratory tests
for Johne's disease in cattle have improved dramatically in
recent years and are widely available. When using laboratory tests
for pre-purchase screening of animals, it is important to understand
that tests done on individual animals are not very sensitive, meaning
they can't detect all infected animals. A way to get around this
problem is to rely on tests done on the herd of animals from which
you want to buy replacements. If a whole herd test is 100% negative,
then the probability the herd is free of M. paratuberculosis
infection is very high. Johne's disease test-negative herds
are the best sources of animals for purchase. See the prevention
topic for more information.
Read more
about preventing Johne's disease in the articles on biosecurity in the Articles
and Brochures section of this website.


How
do you test animals for Johne's disease?
There
are three common ways to test animals for Johne's disease: culture
of fecal samples, DNA probe on fecal samples, and blood tests for
antibodies to M. paratuberculosis.
Culture
of the M. paratuberculosis from fecal samples
All animals can be tested for Johne's disease by
doing a bacterial culture of a fecal (manure) sample. Your veterinarian
can help collect and submit samples for a Johne's fecal culture.
This test takes 8 to 16 weeks because of the extremely slow growth
rate of M. paratuberculosis and typically costs US$15 to
US$25 per sample.
DNA probe
on fecal samples
M. paratuberculosis
bacteria can be detected in fecal samples by use of sophisticated
DNA probe tests. DNA probes are much faster than culturing the organism
and can be done within three days. Unfortunately, the commercial
kit for doing the DNA probe tests are not yet as sensative as culture
and are only able to detect infected animals when their infection
has progressed to the stage where large numbers of M. paratuberculosis
are being excreted in the feces. Therefore, animals in early stages
of the infection are not detected. The other disadvantage of the
DNA probe for Johne's disease is that it is expensive to run, costing
roughly US$25 to US$35 per sample (although the price charged may
be lower in states that subsidize testing through their veterinary
diagnostic laboratory).
Blood tests
for antibodies to M. paratuberculosis
There are several blood tests for Johne's disease.
The ELISA is the
one considered most accurate and best standardized. Three ELISA-based
tests are licensed by the U.S. Dept. of Agriculture for detection
of M. paratuberculosis- infected cattle. These as well as
other ELISA tests are available in other countries. The ELISA is
fast, simple, inexpensive (US$8 to US$10 per animal) and able to
detect animals that are infected before they show signs of Johne's
disease. Many veterinary diagnostic laboratories offer the ELISA
for Johne's disease. Products that can be used to "cow-side"
have recently entered the market but thorough independent evaluations
have not yet been reported.
To
learn more about diagnostic products from sponsors of this website,
click here.


How do you control Johne's disease in a herd?
Control
of Johne's disease in dairy herds is not difficult, but it does
take patience and consistency. In principle, two strategies must
be employed at the same time; 1) newborn animals must be protected
from infection by being born and raised in a clean environment and
fed milk free of M. paratuberculosis, and 2) adult animals
carrying the M. paratuberculosis infection must be identified
by laboratory tests
and removed from the herd. For dairy cattle this means:
| |
1.
|
Cows
should calve on clean pastures or in clean and disinfected
maternity pens
|
| |
2.
|
Use
colostrum only from Johne's test-negative cows
|
| |
3.
|
Feed artificial
milk replacer or pasteurize waste milk fed to calves until weaning
|
| |
4.
|
Follow
common sense farm sanitation practices to avoid manure contamination
of feed and water.
|
| |
5.
|
Test
for Johne's disease once a year and cull test-positive cows
at the end of their lactation.
|
A
computer simulation model was developed to graph how fast you can expect Johne's
disease control programs to work. It shows that calf raising practices are the
single most critical part of a Johne's disease control program. How thoroughly
and consistently the 5Cs
of calf raising are practiced governs how fast Johne's disease can be controlled
or even eliminated from a dairy herd. Detailed information is prodouced under
the control topic.
For
more about calf raising, download the publication called "Raising
calves - The 5 Cs of a healthy start" produced by the Wisconsin
Milk Marketing Board. This brochure and other helpful articles on
Johne's disease can be found on the Articles
and Brochures page of this website.
To
learn more about calf feeding products from sponsors of this website,
click here.


Can Johne's disease be cured with antibiotics?
Johne's
disease is not curable in practical terms. Although never reported,
if it can be cured it would likely require use of multiple expensive
antibiotics administered for a year or longer. For most animals,
this is cost prohibitive.
For
more detailed information visit the page on "Antimicrobial
Therapy".


Is there a vaccine for Johne's disease?
The
killed vaccine used in the U.S. and The Netherlands has been most studied. Results
indicate that, when given to calves less than 30 days old, it will enhance immunity
and decrease the rate of clinical Johne's disease in dairy herds. However, it
does not prevent infection of cattle with M. paratuberculosis and can cause
large injection site granulomas. While it may be helpful in control of Johne's
disease for some heavily infected dairy herds, it is should not be used on an
industry-wide basis. This is a complex and controversial subject and the reader
is referred to sections of this website concerning control
of Johne's disease in dairy cattle for a more in-depth discussion of vaccines.


Can humans get Johne's disease?
This is a
very controversial subject. There is a human disease called Crohn's disease that
resembles Johne's disease. Crohn's disease most commonly affects people 15 to
30 years old. It is a chronic diarrheal disease that has no known cause and no
known cure. Recent reports in the medical literature indicate that 25 to 75% of
patients with Crohn's disease test positive for M. paratuberculosis. A
few laboratories have grown M. paratuberculosis from a few Crohn's patient
specimens. However, no connection has been shown between contact with animals
with Johne's disease or milk consumption and Crohn's disease. A detailed discussion
of this topic can be found on the "Zoonotic
Potential" page of this website.


If my herd has Johne's, should I drink the raw milk?
Given
the present lack of knowledge about whether M. paratuberculosis
can infect humans, it is better to be safe and not drink raw milk
from infected herds. It should be noted that drinking raw milk is
generally discouraged for many reasons other than presence of Johne's
disease in a herd.


Are there special laws or regulations regarding Johne's disease?
Many
states in the U.S. and also other countries are developing state
or national programs to help control this infection. You should
consult the veterinary official in charge of your area to learn
about new or proposed regulations. Websites outlining programs in
the U.S. states of Wisconsin and Minnesota as well as a model U.S.
herd certification-like program are listed on the Links
page of this website. Internationally the Australian animal industries
have the most well developed and well funded programs. A link to
their website is also listed on the Links
page.

|