Background: Declining vaccination coverage and increasing hesitancy is a worldwide concern. Many countries have implemented mandatory vaccination policies to promote vaccination. However, mandatory vaccination policies differ significantly by country. Beyond case studies, no comprehensive study has compared these policies or the penalties for non-compliance on a global scale. Methods: We conducted extensive keyword, policy, and literature searches to identify mandatory national vaccination policies globally and develop a comprehensive database. A mandatory national vaccination policy was defined as a policy from a national authority that requires individuals to receive at least one vaccination based on age or to access a service. Two reviewers independently evaluated evidence for a mandate and whether non-compliance penalties were incorporated. We categorized penalties into four types, based on the nature of the penalty. These penalties impact an individual’s financial, parental rights, educational (i.e., child’s school entry and access), and liberty status. We rated the severity within each category. Results: Of 193 countries investigated, 54% (n = 105) had evidence of a nationwide mandate as of December 2018. The frequency, types, and severity of penalties varied widely across all regions. We found that 59% (n = 62) of countries with national mandates defined at least one penalty for non-compliance with a vaccine mandate. Among those, educational penalties (i.e., limiting a child’s entry or ongoing access to school) were the most common (69%; n = 43), with most countries with educational penalties refusing school enrollment until vaccination requirements are met (81%; n = 35). Conclusion: We undertook a comprehensive assessment of national mandatory vaccination policies and identified a diversity of penalties in place to promote compliance. Our results highlight the need to critically evaluate the implementation of non-compliance penalties in order to determine their effectiveness and to define best practices for sustaining high vaccination uptake worldwide.
Diarrhea caused by Escherichia coli in calves is an important problem in terms of survivability, productivity and treatment costs. In this study, 88 of 150 diarrheic animals tested positive for E. coli. Of these, 54 samples had mixed infection with other bacterial and/or parasitic agents. There are several diarrheagenic E. coli pathotypes including enteropathogenic E. coli (EPEC), Shiga-toxin producing E. coli (STEC), enterotoxigenic E. coli (ETEC) and necrotoxigenic E. coli (NTEC). Molecular detection of virulence factors Stx2,
Context Profitability of water buffalo systems depends on a calving interval (CI) <400 days. Several factors affect the achievement of this target. However, milk yield at first lactation has received little attention. Aims Determine the effect of milk yield at first lactation, parity, season of calving and farm, on the length of CI and the probability of a CI ≤ 400 days in water buffaloes. Methods A retrospective analysis of milk yield at first lactation and reproductive records of 1459 water buffaloes was carried out. Milk yield was categorised as Group 1 (≤1090 kg), Group 2 (1090–1377 kg), Group 3 (1377–1684 kg) and Group 4 (>1684 kg); parity was categorised as parity 1, 2 and ≥ 3; and month of calving was grouped into three seasons: December–March, April–July, and August–November. Data were analysed using linear and logistic mixed models. Key results CI increased from 425.3 days (95% CI: 418.8–431.8 days) in group 1 to 463.3 days (95% CI: 456–470.6 days) in group 4 (P < 0.05), while the probability of having a CI ≤ 400 days decreased from 0.5 (95% CI: 0.46–0.54) to 0.26 (95% CI: 0.22–0.29), respectively (P < 0.05). CI decreased from 466 days (95% CI: 460.8–471.3 days) in parity 1 to 410.5 days (95% CI: 405.2–415.8 days) in parity ≥3, whereas the probability of a CI ≤ 400 days increased from 0.26 (95% CI: 0.24–0.29) to 0.51 (95% CI: 0.47–0.54) respectively (P < 0.05). Water buffaloes calving in August–November showed significantly shorter CI and, along with those calving between December–March, showed the highest probability of a CI ≤ 400 days. An interaction between milk yield at first lactation and parity on both outcomes was observed. Conclusions Shorter CI and higher probability of a CI <400 days were associated with lower milk yields at first lactation, higher parity and calving between August–November. Higher milk yield at first lactation affected negatively the reproductive performance of water buffaloes, especially at parity 1 and 2. Implications These results highlight the importance of adequate nutritional management to allow water buffaloes to cope with the challenge of the postpartum negative energy balance and have a calving interval less than 400 days.
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