Pain management and impact on productivity in food animals in Europa | Dechra UK

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Pain management in food animals in Europe and impact on productivity

Food animals, by the critical role they play in contributing to feeding the planet, hold a vital place in our lives, especially as global meat and milk production are respectively projected to increase by 19% and 33% by 20301.

Achieving this while considering many parameters, whether they are environmental, demographic, or socio-economic, requires the adoption of new approaches in global agrifood systems. Furthermore, growing considerations about the importance of welfare for livestock and adequate pain management and reduction of suffering and discomfort are also being voiced.

Attitudes towards farm animal pain and its management have considerably evolved in the last decade or so, however there is still lots to be done. Although pain in food animal is often acknowledged, efficient and pragmatic solutions, if available, are often not effectively put in place, due to their challenging implementation, affecting livestock well-being and ultimately their productivity, and leading to economic losses for farmers.

How can we enable new attitudes towards pain and pain management as well as setting a vision that encompasses new alternative and efficient approaches to reduce food animal suffering and ensure their welfare, while meeting productivity needs?

The use of alternative efficacious, safe, and easy to use treatments could be the way forwards.

Pain in food animals: a moral duty to prevent animals from suffering

Pain is a protective biological mechanism alerting to the onset of potential tissue damage, inducing both a sensory and emotional experience significantly affecting animal welfare2.

Much research has been conducted in the last decade, leading to a better understanding of pain pathways and various mechanisms involved in pain expression, as well as the production of many recommendations and pain scoring tools; although there has been speculation about the fact that livestock pain management is far behind their companion animal counterparts.

In cattle, pain generally results from infectious diseases, injuries or lameness, but is also occasionally caused by humans, especially during routinely performed husbandry procedures.

Pain management, as well as other parameters such as stress and food, plays a critical role in animal welfare. As a matter of fact, chronic pain, and to a lesser extent acute pain, result in poor welfare of production animals3. Being free from pain, injury and disease is a right and requirement for any animal. There is indeed a moral argument for reducing pain and discomfort in food animals, further highlighted by emerging societal and ethical considerations demanding improvement in welfare of food-producing animals, as well as transparent welfare practices, particularly when it comes to food safety and residue considerations, as sometimes pain management involves the widespread use of antimicrobial substances, with the risks associated with food safety and antimicrobial resistance.

Pain in food-producing animal is also closely intertwined with loss of productivity (milk, meat, wool production). In addition to the moral and ethical considerations of preventing animals from suffering, economic considerations are therefore also at stake. Pain affects food animal productivity, and therefore pain management has a direct impact on farmers well-being and income. An animal in pain won’t be able to produce enough, therefore leading to potential economic losses as well as impacting the farming community and potentially also creating psychological issues.

Existing on-farm pain management protocols for livestock

Pain in cattle can be managed by the implementation of pre-emptive, reactive, or multimodal analgesia.

When conducting painful procedures and when pain is therefore predictable, pre-emptive analgesia is recommended. In theory, the most effective analgesia should be provided through a multimodal approach, using a combination of agents acting on different pathways.

Care must be taken when using pain management drugs in livestock, due to food safety concerns and potential residues in the absence of Maximum Residue Limits (MRLs) for some potent molecules such as opioids, which can’t be used for that reason.

Other analgesic options like general anaesthesia can’t always be used for obvious practical reasons either. However, some molecules are licensed in livestock for systemic analgesia such as non-steroidal anti-inflammatory drugs (NSAIDs) including meloxicam, carprofen, ketoprofen and tolfenamic acid, and α-agonists like xylazine and detomidine. For instance, NSAIDs are the most commonly used products to treat lameness4. Epidural analgesia, intra-veinous regional anaesthesia and local nerve blocks are different techniques that can also be used to provide local anaesthesia5.

In theory, for livestock undergoing routine husbandry procedure, implementing a multimodal pain relief strategy is advised. The use of multimodal analgesia incorporating both local anaesthesia, to address nociception, together with NSAIDs to manage sensitisation, is recommended as best practice, with recognition of the provision of greater amelioration of the pain response than the use of a single agent alone. Meloxicam is the most advocated molecule; it seems to be preferred over other available NSAIDs because of its prolonged half-life, enabling a duration of action up to 72 hours2.

Photo 1. While pain is often recognised and acknowledged in livestock, pain management plans are sometimes not systematically put in place.

In reality, implementing pain management on farms can be a challenge.

Firstly, attitudes and approaches towards pain scoring and pain management in farm animals vary from one individual to another, therefore affecting the perception of pain and the subsequent implementation of pain management plan choices. Commonly performed husbandry procedures, such as disbudding (calves), dehorning, castration (piglets), calving, and tail docking (lambs), are often performed without the provision of any pain relief, despite the fact it is commonly acknowledged that such procedures cause acute pain. Providing pain relief during and after such husbandry procedures can be challenging for several reasons, including time, cost, safety and public health issues. It is now increasingly recognised that provision of pain relief for surgical husbandry procedures is required, or even mandatory in some countries, calling for an urgent need for the implementation of systematic adequate pain relief protocols.

So, while pain is often recognised and acknowledged in livestock, pain management plans are not systematically put in place. Costs, ease of use and administration of drugs, as well as legal restrictions specifically for the use of pain relief products in food-producing animal and who, whether it is the vet or the farmer, can administer these pain relief products, may be important factors preventing the use of analgesia in livestock6. Is there a way to find new approaches to pain management in farms and identify possible transformative patterns for pain management towards a more welfare centred approach?

Welfare considerations and improvement of on-farm pain management

Adopting an animal-welfare strategy to manage treatments of farm animals, especially pain management therapies, either in the context of treating debilitating infectious diseases or following aversive husbandry procedures, could have important benefits for both the animals as well as the farming community, in addition to its obvious ethical considerations of preventing animals from unnecessary suffering, by significantly reducing morbidity periods and therefore improving livestock production efficiency. Providing efficacious on-farm pain management is required, as well as rationalising the necessity to continue or not painful aversive husbandry procedures. It is critically important for the sustainability of livestock production that improved animal welfare happens on farms7.

An important milestone in improving food animal welfare would be to rationalise the need for aversive husbandry procedures and to significantly reduce them or improve them by systematically using adequate pain management protocols in order to reduce suffering. In the last decade, much research has been conducted on that specific matter. Do we really need such procedures? Can we provide adequate pain relief and pain mitigation strategies for these common husbandry procedures?

Tail docking in piglets, which is the cutting or cauterizing of a part of the tail in the first week after birth to prevent tail biting in their later life, is a commonly performed husbandry procedure.

Research has suggested that tail biting can be avoided by providing pigs with enrichment materials such as straw, and that tail docking is not necessary8,9. Despite this knowledge and a ban on tail docking according to European legislation dating from 200810, many piglets are still routinely exposed to the painful procedure of tail docking, in many European countries except Finland and Sweden. This procedure is often performed without the provision of any pain relief, posing obvious welfare issues.

Enforcing legislation on pig welfare is one of the European Commission’s priorities in terms of animal welfare, although there are still lots to be done to achieve this. Netherlands plans to end routine piglets tail docking by 2030 with the Dutch pig sector. It is interesting to note that countries that have stopped routine tail docking seem to invest more in training for veterinary practitioners9.

Photo 2. Tail docking in piglet is a painful procedure banned in Europe, although routinely performed without any pain relief.

So, while it is often acknowledged that husbandry procedures such as tail docking are painful and should effectively be banned, these are still routinely performed, most often without any pain relief. Is there a way to mitigate pain in such situations? The development of easy to use, affordable and safe pain management strategies that would achieve rapid and sustainable uptake, and that could be voluntarily repeated by farmers even under financial restrictions, is challenging but of critical importance2. Time, cost, safety and public health considerations should therefore be kept in mind while designing pain management protocols for on-farm husbandry procedures on food-producing animals. These pain management strategies should take into consideration potential residue concerns, especially the adequation of withdrawal periods with production goals, and ideally contribute to improved antimicrobial resistance stewardship by not systematically including antimicrobials in the overall treatment of affected cattle. Actually, the use of topical antiseptics could be part of such non-antimicrobial pain management strategies; topical antiseptics traditionally used in cattle include povidone iodine, chlorhexidine, hydrogen peroxide and cetrimide.

Research suggests that the use of topical or local anaesthesia, ideally combined with NSAIDs for analgesia, reduces pain during and after husbandry procedures and is therefore a robust and affordable strategy2,3,11,12.  Recent research has shown that the use of a spray-on topical anaesthetic formulation* containing lidocaine, bupivacaine, adrenaline as well as an antiseptic (cetrimide) successfully mitigated the pain in lambs after tail docking7. This non-antimicrobial wound treatment, ideally administered in conjunction with parenteral or oral administration of an NSAID such as meloxicam, constitutes an affordable and efficacious method for farmers to improve animal welfare2. The wound treatment has also been demonstrated to be safe and efficacious in pain management and wound healing incurred during surgical castration and tail docking of lambs2,7,13, surgical castration and dehorning of calves14,15, and debridement of hoof lesions in cattle to reduce lameness16. This product is licensed and used for anaesthesia and analgesia of aversive husbandry procedures in Australia and has been considered since as a pain management revolution in that country7.

Recently, the role of pain management to reduce suffering in animals affected by debilitating infectious diseases has also received some attention, shedding light on the benefits of using topical anaesthesia for these conditions12. Farm animals suffering from painful oral lesions inflicted by insect-borne viral diseases such as bluetongue (BT) and haemorrhagic epizootic disease (EHD) could benefit from non-antimicrobial alternative treatments to reduce unnecessary suffering, support recovery and help getting back rapidly to good levels of productivity. Recent research suggests that the use of a spray-on topical anaesthetic formulation containing lidocaine, bupivacaine, adrenaline as well as cetrimide (antiseptic) could be a promising pain relief therapy for oral lesions of EHD. This wound treatment has been successfully used to treat buffalo and cattle affected by foot and mouth disease (FMD), where oral lesions are similar to EHD and BT, showing promising results of enhanced recovery and wound healing, as well as significant reduction in pain and suffering2,17,18.

With increasing societal and ethical considerations on animal welfare accompanying the deployment of new sustainable agrifood systems to feed the planet in the years to come, implementing in-farm animal welfare strategies, especially in pain management, is of critical importance. Whilst this appears as an incredibly complex challenge, this could be achieved through finding a multimodal approach, where the veterinary profession would have a significant role to play in raising awareness, facilitating knowledge transfer and identifying risk factors and solutions on farm level for the benefit of livestock health and welfare. This approach would include establishing further protocols to properly assess and score pain, as well as finding new ways of mitigating pain more efficiently on farms, which could potentially involve the use of alternative efficacious therapies and improve the way common painful husbandry procedures are performed.

*The cutaneous solution is currently registered by Dechra in Europe under the commercial name of Multi-Solfen® in Portugal, where it is licensed for treatment of pain and acceleration of wound healing in disbudding wounds by thermocautery in calves and for local anaesthesia and antisepsis in non-sterile skin lacerations in piglets up to 7 days of age. This product is also registered under the name of Tri-Solfen® in the United Kingdom for local anaesthesia during and following castration of piglets and provision of castration wound antisepsis. Tri-Solfen® is also registered in Australia and New Zealand for use in cattle and small ruminant husbandry.

 

 

1. FAO. Mapping Supply and Demand for Animal-Source Foods to 2030. In Animal Production and Health Working Paper 2; FAO: Rome, Italy, 2018; Available online: https://www.fao.org/3/i2425e/i2425e00.htm  (accessed on March 18th 2024).

2. Windsor PA. Role of Topical Anaesthesia in Pain Management of Farm Animals, a Changing Paradigm. Animals (Basel). 2022 Sep 17;12(18):2459. doi: 10.3390/ani12182459. PMID: 36139319; PMCID: PMC9495143.

3. Stilwell, G.; Windsor, P.A.; Broom, D.M. Pain Management for Ruminants During Common Farm Husbandry Procedures. In Advances in Animal Health, Medicine and Production; Duarte, A.F., da Costa, L.L., Eds.; Springer: Cham, Switzerland, 2020; pp. 27–51

4. Craven E, Stavisky J, Robinson N, Dean R. How do different members of the on-farm mobility team perceive lameness, and what factors influence their NSAID use? Vet Rec. 2024 Mar 2;194(5):e3412. doi: 10.1002/vetr.3412. Epub 2023 Oct 29. PMID: 37899275.

5. Hudson, C., Whay, H. and Huxley, J. (2008), Recognition and management of pain in cattle. In Practice, 30: 126-134. https://doi.org/10.1136/inpract.30.3.126

6. Robles I, Arruda AG, Nixon E, Johnstone E, Wagner B, Edwards-Callaway L, et al. Producer and veterinarian perspectives towards pain management practices in the US cattle industry. Animals. 2021;11(1):209

7. Ferrer, L.M.; Lacasta, D.; Ortín, A.; Ramos, J.J.; Tejedor, M.T.; Borobia, M.; Pérez, A.O.; Castells, E.; de Arcaute, M.R.; Ruiz, H.; et al. Impact of a topical anaesthesia wound management formulation on pain, inflammation and reduction of secondary infections after tail docking in lambs. Animals 2020

8. Nalon E, De Briyne N. Efforts to Ban the Routine Tail Docking of Pigs and to Give Pigs Enrichment Materials via EU Law: Where do We Stand a Quarter of a Century on? Animals (Basel). 2019 Mar 29;9(4):132. doi: 10.3390/ani9040132. PMID: 30934983; PMCID: PMC6523805.

9. De Briyne N, Berg C, Blaha T, Palzer A, Temple D. 'Phasing out pig tail docking in the EU - present state, challenges and possibilities'. Porcine Health Manag. 2018 Nov 16;4:27. doi: 10.1186/s40813-018-0103-8. PMID: 30473870; PMCID: PMC6238401.

10. Council Directive 2008/120/EC of 18 December 2008 laying down minimum standards for the protection of pigs. OJ L 47, 18.2.2009

11. Windsor, P.A.; Lomax, S.; White, P. Progress in pain management to improve small ruminant farm welfare. Small Rum. Res. 2016, 142, 55–57

12. Windsor, P.A. Progress with Livestock Welfare in Extensive Production Systems: Lessons From Australia. Front. Vet. Sc. 2021, 8, 674482

13. Lomax S, Dickson H, Sheil M, Windsor PA. Topical anaesthesia alleviates the pain of castration and tail docking in lambs. Aust Vet J. (2010) 88:67– 74. doi: 10.1111/j.1751-0813.2009.00546.x

14. Espinoza C, Lomax S, Windsor PA. Topical anaesthesia provides pain management for dehorning of calves. J Dairy Sci. (2013) 96:2894– 902. doi: 10.3168/jds.2012-5954

15. Lomax S, Windsor PA. Topical anaesthesia mitigates the pain of castration in beef calves. J Anim Sci. (2013) 91:1–8. doi: 10.2527/jas.2012- 5984

16. Stilwell GT, Ferrador AM, Santos S, Domingues JM, Carolin N. Use of topical local anesthetics to control pain during treatment of hoof lesions in dairy cows. J Dairy Sci. (2019) 102:6383–90. doi: 10.3168/jds.2018-15820

17. Peter Windsor, Syseng Khounsy, Francesca Earp, Isabel MacPhillamy, Jams Young & Russell Bush (2020) Managing Welfare and Antimicrobial-Resistance Issues in Treating Foot-and-Mouth Disease Lesions: A New Therapeutic Approach, Veterinary Medicine: Research and Reports, 11:, 99-107, DOI: 10.2147/VMRR.S273788

18. Lendzele SS, Mavoungou JF, Burinyuy KA, et al. Efficacy and application of a novel topical anaesthetic wound formulation for treating cattle with Foot-and-Mouth disease: A field trial in Cameroon. Transbound Emerg Dis. 2021;68:2531–2542. https://doi.org/10.1111/ tbed.1392

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