“…Although less clinical mastitis has been found in free stall housing systems than in herds with tie stalls (Bakken 1981 ), the relationship between potential confounding factors such as feeding procedure, hygiene, floor type, use of litter, and disease in free stall systems has not been assessed statistically due to the small number of herds with free stalls. Bovine mastitis, the most common disease of Norwegian dairy cows, is considered to be highly influenced by the environment, and up to 25% of the variation in subclinical mastitis between herds has been attributed to variation in the cows' environment (Bakken 1982). Ketosis is the second most common disease of Norwegian dairy cows, with an estimated incidence of 18.4 cases per I 00 cow-years reported to the Dairy Cow Recording System (DCRS) in 1994 (0sterds et al 1994).…”