How Sick Are They?

01:43AM Aug 31, 2014
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FJ BT14 B14036
Fall is here, and with it comes the fall run of cattle to feedlots across the country. Many of the cattle that come in are, unfortunately, from a long distance away, with questionable weaning and vaccination status. Starting this class of high-risk cattle can be a hard job at times. Even with several new technologies and products available to us, we still see a high number of sick cattle in the receiving pen. 

One of the major issues I address with producers is a way to quantify how sick a pen or individual calf is. A helpful system that we implemented is a clinical illness score (CIS) system. This numerical system allows a producer to quantify a calf at the chute and also gives us a means of retrospectively evaluating a pen of calves. 

The system I use consists of a CIS scale of 1 to 4. 
1: A calf that is questionably lethargic. He will be individually identified by the pen rider and evaluated again later that same day or the next morning. 

2: A calf that—while not obviously ill—is, in the pen rider’s mind, worth taking a trip to the chute to be evaluated further. 

3: A calf that is obviously ill and needs treatment.

4: A calf that is moribound and needs to be removed from the pen immediately to go to a hospital or be humanely euthanized. 

Treatment standards. To further evaluate these animals, a rectal temperature is taken. Although I am not a believer in temperature being the holy grail of diagnostics, I think it can have its place. Keep in mind that on a normal Midwest July day all the cattle will have temperatures above 104°F! 

Within this system, I use temperature to help determine the status of my CIS 2 class of cattle. A CIS 2 has to have a temperature of 103.5°F to receive treatment. Work with your veterinarian to set this parameter, as it may change seasonally or in the face of an outbreak. To clarify, a CIS 2 with a temperature of 101°F would not be treated; a CIS 2 with 105°F would be. A CIS 3 is treated regardless of temperature. A variation of this would be to lower the class of antibiotic given to CIS 2 animals that are below the temperature cut off. 

Although there is nothing magical about this system, it gives a more objective assessment for pen riders. Research reveals there is poor agreement between pen riders on what qualifies an animal’s need for treatment. About 60% of cattle called sick are agreed upon. 

Of the cattle that are called sick, only about 60% are really ill, and, of those, only about 60% are identified. In short, we are not very good at determining if a calf is ill, and there is no gold standard to determine if you were right or wrong. 

Think about this example: a calf is called sick and treated, and the next day looks normal. Was this a treatment success or a misdiagnosis because the calf was never ill? I encourage everyone to keep a treatment log and have a column for CIS. Use the systematic approach and see if it helps to more objectively treat sick cattle.