JOHNE'S DISEASE (Paratuberculosis)
Veterinary Science Information
Cooperative Extension
The Pennsylvania State University
University Park
Pennsylvania 16802
FAX (814) 863-6140
Johne's disease is a chronic, infectious, usually fatal,
intestinal disease of cattle that also occurs in sheep, goats, and
deer. It is widely distributed throughout the world and across all
regions of the United States.
Johne's is a bacterial disease caused by a bacillus,
Mycobacterium paratuberculosis. The disease is spread by the
shedding of the organism in the feces of infected animals. Since
the organism is resistant to temperature changes and drying and is
well protected in fecal material, it persists in the environment
for long periods of time. Cattle in infected herds usually fit into
four categories: (1) infected animals that are clinically sick,
usually one or two at any given time, shedding large numbers of
bacteria; (2) infected animals with no signs of disease but
shedding bacteria; (3) infected and not shedding; (4) noninfected
animals. The proportion of the herd in each category is influenced
by the level of exposure of young animals to the organism. Poor
husbandry and sanitation encourage continued spread of the disease.
The unknown infection status of most herds, lack of control
measures within infected herds, and difficulty of diagnosing
carrier animals makes Johne's disease a threat to all cattle.
The economic significance of Johne's disease to the cattle
industry is not well documented. Estimates are that from 5 to 20
percent of cattle in the U.S. are infected.
Johne's is usually introduced into the herd through
replacement cattle that are infected but appear healthy. Once
introduced, herds will remain infected for years, and farmers can
suffer severe financial losses due to the disease. At any given
time, only a small percentage of infected animals deteriorate or
will be culled due to clinical disease.
The larger economic losses may be associated with the effects
of infection on milk production, reproductive efficiency, and
susceptibility to mastitis. When infected and noninfected cows in
the same herd were compared, some studies revealed that infected
cows had lower milk production, longer calving intervals, and
tended to be culled from the herd at an earlier age than
noninfected herd mates. Cows with subclinical M. paratuberculosis
infection (infection without signs of disease) were culled at a
much higher rate for problems of mastitis and infertility than
noninfected cows that were culled.
Clinical disease, though highly variable, usually appears in
animals between 2 and 5 years of age. Because of the long
incubation period (1 year or more), animals may remain infected for
years without showing evidence of the disease. Usually symptoms
first appear following calving, a severe stress, or poor
management. A persistent diarrhea without straining is commonly the
first clinical sign, followed by a gradual loss of flesh. The
disease develops so slowly that by the time the owner becomes
concerned, the herd may be in serious trouble. Infected animals
continue to eat, but have constant or recurring bouts of diarrhea.
Cattle can become emaciated in a short period of time, such as a
few weeks, but often the wasting progresses over a few months. Some
cattle may appear to recover temporarily, but relapse later, such
as after calving. Infected cows may shed organisms for up to 12 to
18 months after showing signs of infection. Even in herds
with widespread infection, at any one time only a few animals may
be showing signs of disease.
Infection results in invasion of the terminal portion of the
small intestine. The result is a reduced ability to absorb and
utilize nutrients. The intestinal wall may be thickened, with a
reddened surface. Although the early signs are similar, Johne's must be
differentiated from coccidiosis, winter dysentery, and parasitism.
Malnutrition increases the severity of the disease signs.
Diagnosis
Diagnosis from necropsied or slaughtered animals is made by
histopathologic examination of the ileocecal portion of intestine
and the regional lymph nodes. If an animal is infected,
intracellular, acid-fast organisms and characteristic granulomatous
cellular changes are present. The organism can also be cultured
from ileum, lymph node, or fecal material. In the individual live
animal, the best diagnosis is made by a culture of the manure,
although the animal must be shedding the organism at the time. The
fecal culture is specific and does not give false positive results.
In earlier stages of the disease, infected animals may shed very
low numbers of organisms, sometimes intermittently. These may not
be detected on a single fecal culture. When whole herd fecal
cultures are performed, approximately one third of the infected
animals will be shedding enough organisms (100 organisms per gram
of manure) to be positive. Repeated cultures at 6 month intervals,
however, are effective in identifying the significant shedders in
the herd that are contaminating the environment. Three negative
whole herd cultures give reasonable assurance the herd is clean.
Three to 4 months are required to confirm negative fecal cultures
due to the slow growth of M. paratuberculosis in the laboratory and
its requirement for a growth enhancing substance, mycobactin.
Culling of a infected animal should be based on fecal culture,
but serologic and allergic tests can be used to screen the
infection status of a herd, as in a control program or a herd from
which individual animals might be purchased. The occurrence of
false positive and negative results, however, makes these tests
unsuitable for an individual diagnosis.
Animals in the early stages of infection or animals that have
merely been exposed to M. paratuberculosis will react to
intradermal skin (allergy) testing. Skin testing of young animals
can provide an indication of the presence or level of herd exposure
to M. paratuberculosis. Exposed animals that have not become
infected and animals exposed to other antigenically similar
organisms often give false positive responses. The skin test
frequently becomes negative as immune reactivity declines in more
advanced stages.
AGID (agar gel immunodiffusion) and ELISA (enzyme linked
immunoabsorbent assay) are newer, quicker serologic tests being
used to detect serum antibody to M. paratuberculosis.
s of the disease and often disappears in later stages. AGID
and ELISA can be useful for screening, but may fail to detect some
infected animals (false negative results). The ACID or ELISA can be
used as a quick diagnostic test in clinically affected cattle. A
positive AGID or ELISA test is very reliable; however, a negative
is inconclusive. By the time the quick serologic tests become
positive, animals are usually shedding enough organisms to be
detected by fecal culture. ACID and ELISA are available through
some private and state laboratories.
The serum complement fixation (CF) test currently available
uses a crude antigen and is unreliable due to many false positives
and negatives.
Two new tests for Johne's have been recently introduced: a
gene-probe for testing feces and a gamma interferon blood test.
Both tests may be useful in supplementing information from other
diagnostic tests.
The IV Johnin test and staining of fecal smears or rectal
scrapings for clumps of intracellular acid-fast bacteria can be
helpful in the diagnosis of clinical cases. Smears require careful
and thorough examination, and interpretation can be difficult. In
advanced clinical cases, rectal biopsies may be diagnostic.
Control
Control and eradication of Johne's disease depends upon
reducing contamination of the environment and eliminating exposure
to the organism, especially for young calves. This requires
identification and culling of infected shedders and necessary
changes in management practices for youngstock. Fecal culture at
6-month intervals is used to identify infected shedders so that
they can be removed as soon as possible. Any animals showing
diarrhea and weight loss should be culled immediately or tested and
isolated pending test results. Newer AGID or ELISA tests are quick
and fairly accurate when used in the advanced clinical cases.
Manure from infected adults should be applied only on cropland to
be tilled, and youngstock must be isolated from contaminated
barnyards, pastures, and water.
Young animals are the most susceptible and acquire Johne's
infection at a very young age (as early as 1 day) even though they
show no signs of the disease until 2 or more years later. Halting
the infection cycle in an infected herd requires that calves be
removed from dams immediately after birth and be raised as
replacements completely separated from the adults and the manure
contaminated environment. Once a control program is initiated,
intradermal skin testing may be useful in screening young calves.
A positive reaction in these animals would indicate likely exposure
and the need for further testing.
Indications are that calves can become infected immediately
after birth. Infection in the uterus before birth has been
documented in clinical Johne's cows, but is apparently rare in
subclinically infected cows. A higher percentage of offspring from
infected dams become infected due to increased exposure of the calf
to contaminated feces. The organism has been isolated in the semen
of bulls, although spread of infection has not been demonstrated by
artificial insemination.
If it is necessary to buy replacement cattle, they should be
purchased from known negative Johne's herds or herds without a
history of the disease that have been screened using one of the
quicker, less sensitive tests. This may become more routine as
support grows for a voluntary program certifying that cattle have
disease free status.
For herds with high levels of infection, a killed vaccine is
available through cooperation with an accredited veterinarian and
the Pennsylvania Department of Agriculture. The vaccine is
administered to calves under 35 days of age. While vaccination will
reduce the incidence of clinical disease in the herd and decrease
the degree of shedding, it does not prevent infection. Vaccination
is not a solution, but must be coupled with the same stringent
management practices used to control the disease in non-vaccinated
herds. Large persistent lumps at the vaccination site and cross
reaction with the tuberculin caudal fold test are disadvantages to
its use. Caution must be used in administering the vaccine because
chronic granulomatous infections in humans can result from
self-injection of an extremity. The decision to vaccinate needs to
be carefully weighed since Johne's disease can be controlled
without vaccination.
Dairy producers wishing to use the vaccine in their herds must
sign a memorandum of understanding with their veterinarian and the
Pennsylvania Department of Agriculture.
Guidelines for Johne's Disease Eradication
In known infected herds, it is possible to eradicate Johne's
disease if the following program is carefully implemented.
Eradication has been achieved in both Johne's vaccinated and non-
vaccinated herds. Most procedures are designed to prevent spread
from adult carriers to susceptible calves.
- Remove calves to clean quarters immediately after birth.
Natural nursing must not be permitted.
- Thoroughly wash dam's udder to remove all possibly
contaminated manure before drawing colostrum to be used for
initial calf feedings.
- Use only clean utensils for feeding calves. Use cleaning tools
maintained for noninfected group only. Don't contaminate
calves with manure from footwear or clothing.
- Raise calves separately from all contact with adults or
manure. Individual hutches or pens are ideal. Use only clean,
uncontaminated bedding.
- Be sure that feed is not contaminated by manure. Pasteurized
milk or replacer for calves may be worth the effort. Do not
give leftover feed from adults to youngstock.
- Pasture calves on clean, uncontaminated areas and maintain in
winter quarters separately from adults until at least 1 year
of age or until necessary to add to the milking line. If no
clean area is available, land can be tilled and covered with
8 inches of clean topsoil to prevent exposure to the organism.
- Protect young animals from all drainage that may come from
area occupied by adult cattle. Fence or remove any stagnant
pools. Allow animals to drink from uncontaminated tanks or
free flowing streams only.
- Culture all mature animals in infected herds at 6-month
intervals.
- Remove all culture positive animals from the herd.
- Test and remove immediately for slaughter any animal showing
signs of recurrent diarrhea. These may be shedding billions
of organisms per day into the environment.
- Test and confine or cull from the herd any unthrifty animals
until condition is diagnosed. Handle these animals after
clean animals in routine chores. Do not return these animals
to the herd unless possibility of Johne's disease is
eliminated.
- Use semen from noninfected bulls.
- Cresylic and sodium orthophenylphenate disinfectants kill
exposed mycobacteria. To clean and disinfect exposed areas,
all traces of manure must be removed first. Bacteria are well
protected by organic matter.
- If necessary to purchase replacement animals, obtain mature
individuals from known negative herds or at least herds with
no history of Johne's disease. Some of the quicker tests
can be used to screen the herd before animals are considered
for purchase. If no testing is done, isolate purchased animals
until proven negative by fecal culture.
- Clean and disinfect footwear when going from adult housing
areas to the youngstock housing areas.
Dr. Barry Hutchinson, Extension Veterinarian, PSU
Dr. Robert Whitlock, Professor of Medicine, University of Pennsylvania
Dr. Christine Rossiter, Field Investigator, PSU
Issued in furtherance of Cooperative Extension work, Acts of
Congress May 8 and June 30,1914 in cooperation with the US
Department of Agriculture and the Pennsylvania legislature. L. F.
Hood, Director of Cooperative Extension, The Pennsylvania State
University.
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