8 CFU/ml of live M. avium subsp. paratuberculosis organisms. The results indicate that an increased length of exposure to NALC-NaOH from 5 to 30 min and an increased concentration of NaOH from 0.5 to 2.0% did not affect the viability of M. avium subsp. paratuberculosis. Additional treatment of milk samples with the antibiotics following NALC-NaOH treatment decreased the recovery of viable M. avium subsp. paratuberculosis cells more than treatment with NALC-NaOH alone. The Bactec 12B medium was the superior medium of the three evaluated for the isolation of M. avium subsp. paratuberculosis from milk, as it achieved the lowest threshold of detection. The optimal conditions for NALC-NaOH decontamination were determined to be exposure to 1.50% NaOH for 15 min followed by culture in Bactec 12B medium. This study demonstrates that chemical decontamination with NALC-NaOH resulted in a greater recovery of viable M. avium subsp. paratuberculosis cells from milk than from samples treated with hexadecylpyridinium chloride (HPC). Therefore, it is important to optimize milk decontamination protocols to ensure that low concentrations of M. avium subsp. paratuberculosis can be detected. M ycobacterium avium subsp. paratuberculosis, the causative agent of Johne's disease (JD) in ruminants, is transmitted primarily through the ingestion of contaminated feces, but it can also be transmitted through milk and in utero (1, 2). As the infection progresses, M. avium subsp. paratuberculosis can disseminate throughout the body, and it has been isolated from milk, supramammary lymph nodes, and lymph fluid samples from the udder (3-5). Contaminated colostrum or milk may be consumed by highly susceptible neonates and young stock, leading to possible infection with M. avium subsp. paratuberculosis and the persistence of JD within a herd. Studies enumerating the amount of M. avium subsp. paratuberculosis cells shed into milk have reported concentrations from Ͻ1 to 560 CFU/ml (3, 6). A meta-analysis of M. avium subsp. paratuberculosis in milk found that the prevalence rates of M. avium subsp. paratuberculosis in bulk tank milk samples collected from known infected herds and herds of unknown status were 6% and 1%, respectively, as detected by culture, and 68% and 22%, respectively, as detected by IS900 PCR (7). The huge discrepancies in the rates of prevalence between culture and PCR detection methods are because PCR detects both live and dead bacteria, whereas culture recovers only viable microorganisms.Because current PCR assays have not been developed to differentiate between viable and nonviable M. avium subsp. paratuberculosis organisms, culture methods must be used to enumerate the M. avium subsp. paratuberculosis organisms present in milk. Unfortunately, the culture of M. avium subsp. paratuberculosis from milk presents many difficulties because of the organism's low growth rate and fastidious nature compared with other organisms present in milk. Therefore, a decontamination and culturing protocol must be developed that will thwart the ...