– Michelle Arnold, DVM, MPH UK Ruminant Extension Veterinarian
What is Johne’s Disease? Johne’s (pronounced Yo-knees) Disease is a chronic disease of profuse, watery diarrhea and weight loss or “wasting” in adult cattle (Figure 1) caused by the bacterium Mycobacterium avium subsp. paratuberculosis, commonly referred to as “MAP”. This is a slow, progressive disease that begins when calves (not adult cattle) are infected with the MAP bacteria, most often around the time of birth but infection can occur up to 6 months of age and very rarely after. Once MAP gains entry into a calf, the organism lives permanently within the cells of the large intestine where it multiplies and causes the intestinal lining to slowly thicken. With time, the thickened intestine loses the ability to absorb nutrients, resulting in watery diarrhea. There is no blood or mucus in the feces and no straining. The clinical signs of diarrhea and extreme weight loss in spite of having a good appetite, do not show up until 2-5 years of age or even older. There is no treatment available and the animal eventually dies due to starvation and dehydration. The MAP organism is “shed” in the feces before diarrhea starts and continues until the animal’s death. MAP bacteria are very hardy due to a protective cell wall that allows survival for long periods (potentially years) in the environment.
How do calves get infected with MAP bacteria? Johne’s infection is mainly caused by calves ingesting MAP-contaminated feces from nursing dirty teats. In beef cattle, this is possible in high traffic areas (around hay rings, feeding areas) when mud and manure are splashed on the udder, when calving cows in dirty sheds or barns, or when cattle are held in close confinement. MAP is also shed in colostrum and milk of infected cattle. There is great opportunity for transmission thru colostrum and milk in beef calves since they remain with dams 6-7 months or more and calves steal milk from other cows, too. There can be some spread from an infected cow to her fetus during pregnancy but this is infrequent. Transmission by bulls from semen has never been proven but infected bulls still contaminate the environment with their MAP-infected feces.
How did Johne’s Disease get on my farm? In almost all cases, the MAP bacteria arrived when an infected animal was purchased and added to the herd. The bacteria can be hiding in replacement heifers, cows, breeding bulls, recipients used for embryo transfer, or even in an infected calf grafted on a cow. As cow/calf producers, it is easy to buy (and sell) infected, young breeding age animals with no obvious symptoms even though they are already incubating the disease. The problem is difficult to detect early in subclinical cattle (subclinical=before diarrhea and weight loss develop) but these infected animals can and often do shed high numbers of the MAP organism, contaminating the farm long before there is evidence of a problem. Colostrum from other herds, especially from dairies, is another potential source.
Diagnosing a clinical case: Does this animal exhibiting weight loss and diarrhea have Johne’s disease? Options for testing individual cattle:
- Best test: Submission of a dead animal to a veterinary diagnostic laboratory. The affected animal should be humanely euthanized by a veterinarian then promptly taken to the lab for a necropsy (similar to a human autopsy). Histopathology (with special staining) on necropsy-collected tissue including confirmation of the MAP organism is the most definitive confirmation of Johne’s. This is necessary if no prior Johne’s cases have been diagnosed on the farm.
- Best test in a live animal: PCR on a manure (fecal) sample can be used as a primary diagnostic test to confirm the clinical signs of diarrhea and wasting suggestive of Johne’s disease. PCR is an “organism detection test” meaning it detects the DNA of the MAP bacteria in the feces. The PCR result is also a good indicator of the amount of MAP being shed in the feces (see Figure 2). A fecal culture in which MAP bacteria is grown in the lab is another “organism detection test” available but it is quite slow. Johne’s liquid culture is incubated 42 days while solid media culture is incubated 13 weeks before results are known. Culture allows growth of the organism and acid-fast staining for identification.
- The blood test (known as a “Serum ELISA”) is an “antibody detection test”. It is not the preferred test for confirmation of an individual clinical case but can be used reliably if the herd is already known to be Johne’s-infected. The test is not perfect; occasionally, sick cattle with advanced Johne’s disease can test negative on serum. Similarly, healthy uninfected animals can test positive (a “false positive”). However, the blood test is considered a good herd screening test for MAP antibodies and positives should be confirmed with an organism detection test.
Why should I care if I have Johne’s Disease in my herd? Economically, Johne’s disease can be costly in a beef operation. It is believed that for every clinical (sick) cow with Johne’s in a herd, there may be 10-20 more who are infected but not yet showing signs. This is why Johne’s is often referred to as an “iceberg disease”. Obviously death loss and premature culling will mean higher replacement costs to keep herd numbers stable. Perhaps less obvious is that MAP-infected cows showing no signs of disease are less fertile and produce less milk, resulting in lighter calves at weaning and more open cows at pregnancy check.
Seed stock operators (including farms that sell any breeding stock, registered or commercial) should enter a rigorous testing program to eradicate this disease once identified. Many are reluctant to test for Johne’s Disease for fear that a positive diagnosis will ruin their reputation. However, a seed stock herd’s reputation may be damaged much more severely by selling a MAP-infected animal to a customer and introducing a contagious, incurable disease into a buyer’s herd. Not only a tarnished reputation but litigation could result from transactions when the source herd is known to be MAP-infected.
Once a diagnosis of Johne’s Disease is made, what are the next steps? Once a diagnosis is made, the first step is to determine the goals for the operation. If selling seed stock, the goal should be to classify as test-negative or work towards it as quickly as possible. Commercial operations may opt to reduce the disease prevalence gradually through testing and management.
After the goal is established, decisions on which animals to test and what test to use will depend on the answers to the following questions. What management changes are the herd owners willing to make based on test results? Are they willing to cull positives and/or create test positive and test negative herds based on results? How much money are they willing to spend on testing? How quickly do they want to see progress towards goals? Remember that herd testing is done on healthy animals so decisions should be made in advance on how a positive result will be handled. If no changes will be instituted, then testing is a waste of time and money.
Where can I learn more about Johne’s Disease? The Johne’s Information Center at the University of Wisconsin maintains an excellent website with good producer-level information at https://johnes.org. An easy-to-understand video about Johne’s can be found at https://www.youtube.com/watch?v=u0Y0ew5yMo8 although it is dairy-oriented.