Diagnoses and Treatments in Health-Classified Fattening Herds Rearing Pigs All In – All Out
© The Author(s) 2002
Accepted: 22 March 2001
Published: 30 September 2001
This study describes diseases encountered, medications used and veterinary involvement in all in – all out finishing herds belonging to one pork production system. The finishing herds had a particular management and housing regime. The pigs originated from health classified farrowing units. Information on 207442 pigs was collected from 595 log books. Altogether 91% of the pigs received no treatments. Four percent of the batches of pigs were given antimicrobial mass medications. The local veterinarian visited the herds on average 2.6 times during the finishing period and made the diagnoses in more than half of the cases. At least one pig was affected with arthritis or tail biting in more than half of the batches, whereas locomotory diseases were recorded in one third of the batches. All other diagnoses were encountered in 1%-13% of the batches. Only a few pigs were treated individually in the affected groups. Antimicrobial drugs were given to 8% and other medicines to 0.7% of the pigs. The diagnosis was missing at least for one pig in 29% of the batches and the information about the medicine use in 8% of the treatments was missing. The study shows that it is possible to rear finishing pigs with only a small proportion of the animals needing treatments. The need of mass medications was low, because infectious diseases affecting the whole herd were uncommon. The recommendations for antimicrobial use given by the authorities had been followed quite well. The farmers and the veterinarians should be educated in order to realise the importance of proper record keeping.
En deskriptiv studie av diagnoser och behandlingar ispecialiserade slaktsvinbesättningar i Finland.
Denna studie beskriver uppföljningen av sjukdomar som registrerats och behandlats hos svin i slaktbesättningar uppfödda utan tillväxtantibiotika. Besättningspartierna sköttes enligt "all in - all out" principen, hörde till hälsoklassen LSO 2000, och svinskötseln bedrevs under definierade förhållanden. Förmedlingsgrisarna införskaffades från besättningar kategoriserade enligt deras hälsostatus. Förekomsten av sjukdomar bokfördes av besättningensägare i samarbete med en veterinär. I studien granskades 595 besättningspartiers bokföring av sjukdomsfall registrerade mellan mars 1996 och december1997. Resultaten visar att 91% av svinen inte fick någon medicinsk behandling under uppfödningstiden. 4% av besättningspartierna undergick antimikrobiell massmedicinering (p.o.). En lokal veterinär som i medeltal besökte besättningspartierna 2.6 gånger per uppfödningstid ansvarade för över hälften av diagnoserna. Granskningen av de bokförda sjukdomsfallen visar att i mera än hälften av partierna minst en gris per besättningsparti led av ledinflammation eller svansbitning. I en tredje del av besättningspartierna förekom minst en gris som led av en lokomotorisk sjukdom. Övriga diagnoser påträffades i mindre än 13% av besättningspartierna. En liten del av grisarna undergick individuell behandling. 8% av svinen behandlades med mikrobläkemedel. Allmänt använda antibiotika var ß-lactamantibiotika, tetracyclin och representanter för linkosamid-gruppen, makrolider och pleuromutiliner. Trimetoprim-sulfa, enrofloxacin och en kombination av flera antibiotika användes sällan. Endast 0.7 % av svinen behandlades med andra läkemedel än antibiotika. De flesta av dessa grisar behandlades med anti-inflammatoriska läkemedel. Diagnosen fattades åtminstone för en gris i 29% av partierna samt läkemedel för 8% av behandlingarna. Denna undersökning visar att det är möjligt att uppföda slaktsvin med ett lågt behov av medicinering. Eftersom infektiösa sjukdomar som drabbade hela besättningspartierna var sällsynta var behovet av massmedicinering litet. De oftast diagnosticerade sjukdomarna drabbade endast en liten del av svinen och en individuell medicinering kundetillämpas. Rekommendationerna för bruket av antibiotika har efterföljts rätt väl. Ägaren och veterinärer borde få mera utbildning för att begripa viktigheten att bevisa för kunden all läkemedelanvändning på besättningeni behov.
Antimicrobial drugs are used in food animals as performance-enhancers, prophylactically to prevent diseases or therapeutically [8, 12]. The usage of antimicrobials has potential adverse effects for the consumer and the population. Abundant use of antibiotics in animals leads to the development of resistant bacteria, which may be passed to humans [18, 30]. Further, residues of antibiotics may still be present in the meat of treated animals [29, 12].
In industrialised countries, the safety and quality of food is increasingly becoming an issue of concern for the consumer . Regulatory authorities reduce the risks by monitoring residues at slaughter , requiring proper testing of medicines prior to authorisation and by developing recommendations for antibiotic use. One of the important factors influencing the probability of antimicrobial residue occurrence in animal products is the extent of their use . Intensification of production may lead to loss of attention to individual animals and to the increased possibility of the spread of disease . It is increasingly necessary to adopt new approaches to food safety and pork quality . The pork industry has developed different kinds of quality programs. One way to describe the quality of pork production could be to collect information about medications used, the proportion of pigs needing treatments and how herd health is controlled. Some studies have identified the antimicrobials used in the various phases of swine production based on production, sales and trade information [18, 7]. However, this kind of data gives little information about how, where, when and why antimicrobials are used in swine production . Only limited information is available about the most common diseases and the medications in different production systems, especially as far as finishing units are concerned [16, 17, 11].
It has been possible to establish national policies for use of veterinary antimicrobials, especially in Scandinavia. In Finland, the Ministry of Agriculture and Forestry published general antimicrobial policy in 1996  together with recommendations for use to treat specific diseases . In Sweden, guidelines were published in 1990  and in Denmark in 1997 . In 1998, the British Veterinary Association published general guidelines on the use of antimicrobials . In 1999, a new set of 'global principles' on the responsible use of antibiotics in animals was announced by the World Veterinary Association, the International Federation of Agricultural Producers and the World Federation of the Animal Health Industry . These guidelines have led veterinarians to reconsider their therapeutic routines.
The role of the pork producer is changing from just rearing pigs to being an indispensable part of the food production chain supplying a needed product . The swine industry should continue to invest in the maintenance of healthy pig populations aiming to reduce the need for medical treatment . In Finland a health class and management system in pork production, LSO 2000 system, has been developed . The main idea is to produce non-medicated meat. The farmers and the veterinarians are encouraged not to leave diseased pigs untreated, but to treat them individually and to give them an identity to ensure that treated pigs can be refound. Veterinarians play a major role in ensuring responsible and prudent antimicrobial use  and regular farm visits are an essential part of that control. Further, the swine practitioner needs to support pork producers to provide pigs with quality that meet the demands of the whole chain up to the consumer .
The objectives of the study were to describe the diagnoses recorded, the medications used and the veterinary involvement in controlling the health and the treatments in the LSO 2000 finishing herds. These herds were controlled to conform certain management and housing requirements. They reared batches of feeder pigs originating from health classified farrowing herds.
Materials and methods
The data for the study was collected between March 1996 and December 1997 from the farmers' log books of all in – all out finishing units rearing batches of minimal disease feeder pigs in Finland.
The piglet producing herds
The farrowing units producing the feeder pigs were certified to be free from major swine pathogens including sarcoptic mange, Mycoplasma hyopneumoniae, progressive atrophic rhinitis and swine dysentery . The health status of these farrowing herds was examined by the local veterinarians clinically at least 4 times per year. Bacteriology, serology and/or pathology were used to confirm the diagnosis of clinical signs of the above mentioned diseases. The feedback from the finishing units buying piglets from these farrowing units was constantly used in assessing the disease status of the farrowing units. In addition, Finland is known to be free from some other infectious pig diseases such as swine fever, swine vesicular disease, transmissible gastroenteritis, swine influenza, Aujeszky's disease and PRRS . Also the incidence of salmonella in livestock has been extremely low in Finland, because of an effective salmonella control program [3, 4]. The feeder pigs had been treated with anthelmintics in the farrowing units approximately one week before transport to the finishing units, which occurred at the average weight of 25 kg. They were also of proven genetic quality (crosses of Landrace and Yorkshire). Usually the feeder pigs were collected from 10–15 farrowing herds in order to make one finishing batch. The feeder pigs were delivered to the pens of the finishing units according to the herd of origin.
The finishing herds
Management and housing requirements of Finnish finishing pig units classified as LSO 2000 units. A single deviation of < 10% from a single measurement was allowed.
Number of pigs per compartmenta
≤ 400 (300)
Total pen area per pig
≥ 0.9 m2
Hospital pens for sick pigs
5 places per 100 pigs
Solid floor per pig
≥ 0.6 m2
The slot width in the slatted floor
Loading of the slaughter pigs
No electrical prod allowed
Fence between the pens
No electrical fence allowed
Contract with the local veterinarian
Adequate biosecurity measuresb
Housing and management
Examination every 18 months
Airflow at the height of the pigs
≤ 0.2 meters per second
≤ 10 ppm
≤ 3000 ppm
Feeding only approved feedstuffsc
≤ 0.3 ppm
Trough space, no floor feeding
≥ 32 cm/pig
Extra heat provided
Effective environmental temp.d
Free access to water from a nipple
Yes, 1.0–1.5 litres/minute
Location of the water nipples
Water quality examined
Every three years
≥ 100 lux
Use of lights
The recordings in the finishing herds
Some of the pig disease codes of Agricultural Data Processing Centre were combined for the evaluation of the data as shown below.
Combined diagnoses used in the study
Diagnoses used from the pig disease list of Agricultural Data Processing Centre
Diarrhoea, E. coli diarrhoea, bloody diarrhoea, swine dysentery
Gastric ulcers, other disorder in stomach, intestinal volvulus, prolapsed rectum, other digestive disorder
Bursitis, nutritional muscular dystrophy, osteochondrosis, porcine stress syndrome, other locomotory disorder, fracture, disorder in claws, laminitis
Meningitis, other disease with symptoms of nervous system
Enzootic pneumoniae, actinobacillus pleuropneumoniae, atrophic rhinitis, other pneumonia, inclusion body rhinitis
Skin infection, trauma, sarcoptic mange, other skin disease
General bacterial infection, systemic disease, microangiopathy, other cardiovascular disorder, anaemia, aggressiveness, surgical action, accident, other preventive medication given for reasons not mentioned
Log books and overall medical treatments
A total of 595 log books were available for analysis. They consisted of 207442 pigs, which was 79% of all the pigs reared on LSO 2000 finishing farms during the time period studied. The pigs were reared on 152 finishing farms and the median size of one batch was 301 (30–1000) pigs, (minimum-maximum).
The time of occurrence and the duration of different treatments (both individual treatments and mass medications) in 595 batches of feeder pigs in all in – all out LSO 2000 finishing herds (median, minimum-maximum).
Time of the treatment
Duration of the treatment
Number of casesa
Days from arrival
Number of days
Antimicrobial mass medication was given to 23 batches (4%). In 16 batches all animals and in 7 batches part of the animals (median 34% of the pigs, range 18–78%) were mass-medicated: respiratory disorder in 10 batches (2%), infective digestive disorder in 9 batches (2%), other digestive disorder in 2 batches (0.3%) and oedema disease in one batch (0.2%). The diagnosis had not been recorded in one mass-medicated batch (0.2%).
The diagnoses used with individual treatments in all in – all out LSO 2000 finishing units. The percentage of batches affected represents the batches where at least one diagnosis in question was recorded in the log book (altogether 572 batches, mass-medicated batches excluded). The percentage of pigs treated describes the median percentage (minimum – maximum) of pigs having different diagnoses in the affected batches.
% of batches affected
Median % of pigs treated in the affected batches
% of all pigs reared treated individuallya
The medicines used
The use of antimicrobial drugs in all in – all out LSO 2000 finishing units. The table presents the diagnosis, the number of diagnoses (mass medicationa or individual treatment) and the percentages of drugs for treating the diseased pigs (595 batches).
% of animals having the diagnosis treated with:
N of diagnosesb
β-lactam anti- bioticsc
Trimetho- prim- sulpha
Lincos- amides, macrolides and pleuro- mutilinesd
Several antimicrobials simultaneously
Only other treatments than antimicrobials used
Information missing about the treatments
In the present study, 9% of the pigs were medically treated during the fattening period. A majority of the treated pigs were given antimicrobials (8% of all animals) and 4% of the batches were mass-medicated. A few years earlier 19% of the fatteners were medicated and 11% of the batches were given mass medications in the same region . At that time the housing and management of the finishing units were not controlled. However the feeder pigs purchased belonged to the same defined health status in both trials . Apparently the introduction of certain production standards and veterinary inspections improved the health status in a positive way. Considerable variation has been found in the use of veterinary drugs between farms. For example, group medication was given in the Netherlands to 69% of the farms because of intestinal disorders and to 84% of the farms because of respiratory disorders .
The fact that the veterinarians made 58% of the diagnoses must not contradict to the general animal welfare, because the veterinarians visited the farms at strategic time points and certainly at times of accumulated health disturbances. The existence of a strong veterinarian-client relationship is important for proper use of antimicrobials. For example in Canada, only 23% of larger operations participated in herd health programs and only about half of the producers that experienced a disease outbreak in growing-finishing pigs actually consulted a veterinarian . Information about a specific pig unit, the competence of the managerial staff to apply the antibiotic as prescribed and the previous history of the use of different antibiotics on a farm can only be acquired by a frequent veterinary presence on the farm . In the present study, the health and the treatments of the pigs were monitored during the monthly visits of the local veterinarians. It is notable that no antimicrobial feed additives were used. The response to them is greater in young pigs and in unhygienic housing . Withdrawal of feed additives during the fattening period probably meant quite little in the herds studied, because of the high general health status of the herds. Elsewhere, it is very common to use antimicrobial feed additives also for growing/finishing pigs. For example, in Great Britain it was found that 29% of farmers gave them to finishers and 57% to growers . The abundant use of antimicrobial feed additives has led to the recommendation that the use of antibiotics as feed additive or for the preventive control of diseases should be prohibited .
The total avoidance of antimicrobial use is not the ultimate goal, but their scientifically founded use according to the principle 1) tailored to the correct diagnosis and 2) as little as possible, but always the amount that is needed . In the present study, the most common diagnoses differed from those made in other systems. The otherwise common infective diseases such as respiratory and digestive disorders affecting the whole finishing batch and needing mass medications were quite uncommon. The pigs could be regarded as individuals and the use of mass medications changed to individual treatments. Animals should be treated individually whenever possible. It is important to get a therapeutic level of drug to the ill pig, rather than to its healthy contemporaries. If the sick pigs are treated individually early in the course of the disease the pathogen load to the healthy penmates will be reduced, thereby decreasing the need of further treatments. Another aspect is animal welfare. Individual treatments ensure that each sick pig will be sufficiently medicated.
There are various methods to minimise the need of antimicrobials in swine finishing units. Apart from improving the health of the pigs these methods generally improve animal welfare. They include for example all in – all out production, health matching, diminishing the number of source herds by various methods, tracking and eliminating the infection sources and controlling housing and management . The all in – all out method effectively interrupts the accumulation of microbes in the piggery. With health matched feeder pigs the pathogen load can be reduced.
In the present study most of the batches originated from 10–15 farrowing units. A decreasing number of farrowing herds supplying the fattening herds has been found to be associated with an increased percentage of drug-free finishing periods . Infected farrowing units can be tracked by the help of the finishing units. Sorting the pigs by source herd to the finishing unit pens helps tracking of disease sources and helps to treat infectious diseases effectively without the need to treat the whole batch.
The publication of the national antibiotic policy  and recommendations for treatment  published in Finland are likely to have affected the selection of the antimicrobials used. Most of the treatments followed the general policy. However, for example the use of several antimicrobials simultaneously in the case of Glässer syndrome or infective digestive disorders was not according to the recommendations. This paper describes the drug use only in one region. There may be great differences between different regions and veterinarians with regard to the prescriptions . Therefore, the results obtained in a region ought not to be generalised to cover a whole country.
Considerably high percentage, 79% of the log books were returned. In the present study the figure should have been higher, because in a quality chain one would have expected better involvement of the farmers. However, no missing log books were requested. The study shows that it is difficult to effectuate control systems employing all farmers. The batches representing the missing log books were, however, not likely to differ from the ones that participated in the study by having more disease problems, because the finishing herds had paid a high price for their minimal disease feeder pigs. Based on our field experience, the farmers were likely to report the disease problems to the slaughterhouse in order to claim the dealer about the health of the animals, especially if there were a lot of treatments. Also, the reporting of the treatments did not affect the price of the meat.
An obvious limitation in the study was the fact that some of the recordings in the log books were incomplete. The diagnosis was missing at least for one pig in 29% of the herds representing 0.5% of all pigs reared. Similarly, the information about drug use in 8% of the treatments was missing. One would anticipate better record keeping for the farmers and veterinarians of the herds in a quality chain. More education is needed for the farmers and the veterinarians about the matter. They should realise that it is of utmost importance to be able to prove the customers all medicine used in pig production. To conclude, it was possible to rear finishing pigs with only a small proportion of the animals needing treatments. Individual treatments could be used principally, because infectious diseases affecting the whole herd were uncommon. The recommendations for antimicrobial use given by the authorities as part of the national antibiotic policy had been followed quite well in the herds studied. However, the farmers and the veterinarians should be educated in order to realise the importance of proper record keeping in proving the customers all medicine use of the herds if needed.
Professor Satu Pyörälä is appreciated for reading the manuscript critically and for providing excellent comments.
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