“…Summer access to pasture has been found to reduce mortality of dairy cows in Denmark (Thomsen et al 2006;Thomsen et al, 2007). A number of epidemiological or experimental studies in different countries have found that lactating cows without access to pasture suffer from a higher incidence of a variety of health problems including mastitis (Bendixen et al, 1986b;Bendixen et al, 1988a;Waage et al, 1998;Barkema et al, 1999a;Washburn et al, 2002;White et al, 2002), tramped teats (Ekesbo, 1966;Geer and Grommers, 1975;Bendixen et al, 1986b), metritis (Bruun et al, 2002), Salmonella enterica infections (Veling et al, 2002), dystocia (Bendixen at al, 1986a), retained placenta (Bendixen et al, 1987a) and ketosis (Bendixen et al, 1987c). Hock and knee injuries are also more common when cows have no or limited access to pasture (Haskell et al, 2006, Rutherford et al, 2008.…”