milk quality around the world
DESCRIPTION
Presentations from a session held during the 2013 National Mastitis Council Annual Meeting provide a brief overview of milk quality from various dairy industries across the globe. Includes demographics, milk quality parameters, and other unique practices from Colombia, Italy, Spain, Uruguay, Chile, Germany, New Zealand, United States, Canada, and Great Britain.TRANSCRIPT
A global organization for mastitis control and milk quality
Milk Quality Around the World
presented at the
National Mastitis Council 52nd Annual Meeting January 27 – 29, 2013 San Diego, California
National Mastitis Council 52nd Annual Meeting
Presentations from General Session 3“Milk Quality Around the World”
Milk quality continues to gain more importance as consumers become more aware and as countries import and export dairy products. A session held during the NMC 52nd
Annual Meeting (January 2013) provided a brief overview of milk quality from some of the dairy industries across the globe.
The following presentations include demographic information, milk quality parameters, and other unique practices from:
• Colombia • Germany
• Italy • New Zealand
• Spain • United States
• Uruguay • Canada
• Chile • Great Britain
MILK QUALITY AROUND THE WORLD COLOMBIA
ALEJANDRO CEBALLOS, GREG KEEFE, PAULO DUQUE, NESTOR A. VILLA
Universidad de Caldas University of Prince Edward Island
©2013
MILK PRODUCTION IN COLOMBIA
Holstein, Normande, Jersey, Brown Swiss, Zebu and its crossbreeds
Average herd size: ~30 cows
Milk production: 5,500 M of kg of milk/year
Most coming from Zebu cows (high number with low milk yield)
ACM, 2012 2
MILK QUALITY IN COLOMBIA
Most of mastitis cases caused by contagious
Strep. agalactiae bulk tank prevalence: 42%
SCC is not part of the current regulation on milk quality
BC still high (hand milking?), current regulation: max 175,000 cfu/mL, no actions taken if higher (processors)
ACM, 2012 3
MILK QUALITY IN COLOMBIA
ACM, 2012 4
• About 50% marketed as raw milk
• Milk for pasteurization and dairy products is tested for β-lactam
• Bonuses paid for being free of TBC and brucellosis
ACM, 2012 5
Report from Italy Alfonso Zecconi
National data
Total number of dairy herds 40,200
Number (%) reporting: 20,208 (50%) and 81% of milk produced
Predominant breed: Holstein (82%) Average herd size (milking + dry cows): 67
Average milk production per cow (305 yield): 8.5 tons
National data
Year Herds Kg milk (billion)
BTSCC arithmetic mean
2009 6800 4389 305.000 2010 6600 4412 305.000 2011 6350 4545 295.000
Data on 42% of Italian milk production and 31% of dairy cows
Lombardia data (>40% Italian milk)
Herds
61,7% herds 70.0% milk 28.7% herds 26.0% milk
9.6% herds 4.0% milk
Lombardia data (>40% Italian milk)
Herd production classes (ton)
% Herds
% prod TBC SCC Fat Protein
1 100 8,26% 0,49% 112.109 363.850 3,91% 3,39% 100 1.000 60,28% 32,65% 31.923 280.070 3,88% 3,45%
1.000 > 31,46% 66,84% 24.956 262.362 3,82% 3.44%
Raw Milk • Raw milk can be purchased directly at farm in Italy. • Farmers should follow more stringent rules on milk quality
(SCC, TBC) • Milk (but not farm) should be certified free from S.aureus,
Str.agalactiae, Salmonella spp, M.paratuberculosis, E.coli O157:H7, Listeria spp, and Campylobacter spp.
• The two most important and tasty Italian cheeses (Parmigiano Reggiano, Grana Padano) and many other are made with raw milk
Future initiatives under consideration • Application on wider scale of herd health management
programs by practitioners after specific training programs.
Farmer (Vet)Call
Herd visit and sampling
Questionnaire
Sampling
Results
Control Program
Strategic Plan
ManagementChanges
Contagious
Clinical Mastitis
Results
Evaluation
Periodical (monthly)Herd visit
EvaluationEND
Information circle
Operational circle
Most recent success in milk quality
• The number of farms that eradicated S.aureus IMI after following voluntary programs
• > 100 herds nationwide • > 90% success • Applied by several groups/associations (vets,
farmer ass., dairies)
Biggest frustration in milk quality • Still most farmers (with poor quality) believe that SCC and
mastitis are not correlated and the source of high SCC are not intramammary infections
010203040506070
vet nutritionist pharma rep feed rep
%
Positive satisfaction
<200201-300>300
BTSCC
Cipolla & Zecconi 2013
See you in Milan (Aug 2013) for Udder Immunity Workshop at IVIS 2013 !
MILK QUALITY AROUND THE WORLD: SPAIN
Luis Miguel Jiménez Servet Talavera
[email protected] NMC 2013, San Diego (CA)
OVERVIEW
835,749 dairy cows (may 2012) 22.553 dairy farms (may 2012) Deliveries in 2010-2011: 5,854,839
million tonnes of milk (MTM) Deliveries 2011-2012): 6,209,274 MTM Spain Milk Quota 6,108,729 MTM Spain consume 9.000.000 MTM Consume of milk and milk products:
5,278.6 million of Kg (113,3 kg per person)
POPULATION OF COWS
FARMS & COWS PER FARM
DELIVERIES IN LAST 3 YEARS
MILK PRODUCTION PER COW
850090009500
10000105001100011500
2004 2005 2006 2007 2008 2009 2010 2011
FAT & PROTEIN
2,83
3,23,43,63,8
2004
2005
2006
2007
2008
2009
2010
2011
Fat
Protein
REGULATION (EC) Nº 853/2004
Plate count at 30 °C (per ml):
≤ 100 000 Somatic cell count (per ml):
≤ 400 000 Antibiotic residues: do not
exceeds any maximum permitted value
DAIRY INTERPROFESSIONAL LABS
LIGAL LILA
LILCYL
LILCAM LILCOVAL
ILL ALLIC
LILC
LETRA Q SYSTEM
LETRA is an acronym, LE is for Leche (milk), TRA is for Trazabilidad (traceability), Q is Quality and LETRA in spanish means letter
People of system: industry, labs and administration
Obligatory samples management Official samples management Data and statistical reports
OBLIGATORY SAMPLES
ALARMS
SOMATIC CELL COUNT
323000 327000290000 266000
050000
100000150000200000250000300000350000
2008 2009 2010 2011
STANDARD PLATE COUNT AT 30º
7000056000
48000 45000
0
20000
40000
60000
80000
2008 2009 2010 2011
MILK QUALITY PROGRAMS (MQP)
About 100 people (veterinarians) work in Milk Quality in Spain
Producers are in MQP to improve milk quality, less mastitis and more premiums
Many producers are in MQP because they received more subsidies
It impossible improve Milk Quality without advice
THANK YOU ANY QUESTIONS?
RELIM Latin-American Network of
Mastitis Research Red Latinoamericana de Investigación en Mastitis
Dr. Marcos Munoz Dr. Elena de Torres Dr. Guillermo Sierra Dr. Fernanda Zorrilla Dr. Alejandro Ceballos www.relim.org
NMC International Advisory Committee. San Diego, California 2013
What is RELIM?
• RELIM is a network of professionals involved in bovine mastitis control and milk quality from all countries in Latin-America.
• The members of this network include specialists of the industry associated with the production of quality milk, researchers, and dairy consultants in milk quality.
How RELIM was born?
• RELIM was born in 2012, to fulfill the increasing need for the exchange of knowledge on intramammary infections affecting the dairy herds and milk quality in Latin-America.
• Members of the network include specialist from:
Argentina, Brazil, Chile, Colombia, Costa Rica, España, Uruguay, USA, and Venezuela.
Our goals • To improve the exchange of knowledge on
intramammary infections among the member countries.
• Apply that knowledge considering epidemiologic differences of the several milk production systems present in Latin-America
• Help to produce quality milk considering both animal welfare and an environmentally sustainable milk production.
1st RELIM Annual Meeting March 21-22, 2013
Manizales, Colombia
Visit us online at:
www.relim.org
URUGUAY
• Milk production in Uruguay has grown
steadily over the past 25 years (5% ave. annual increase).
• Uruguay is the top per capita milk producer in LAM at 412 liters.
• Uruguay ranks 1 in milk consumption in LAM. (239 L per capita/year)
• Milk production has used nearly 1 million hectares of total agricultural surface area (6% of total area) with production levels reaching 1.5 billions L per year.
URUGUAY
• 60% of milk received at dairy plants is shipped to more than 70 markets.
• In the early 90´s, a National Milk Quality System was established to implement a comprehensive quality process.
• The result has been the attainment of >90% of Grade A milk.
• Dairy cows: 1,000,000
• People: 3,200,000
• Dairy producers: 4,000
URUGUAY
• Main mastitis pathogens
– Staph. aureus: 50% (prev. bet. herds) – Strep. agalactiae: ranges 10 – 15% – Strep. uberis: 15 % increasing trend – CNS: increasing trend
URUGUAY INALE
• INALE is an organization which articulates the already existing institutional network in the dairy sector.
• Its role is to coordinate (not regulate). The Ministry of Agriculture (M.G.A.P.) has the regulating role
• www.inale.org
MILK QUALITY IN URUGUAY
93,9 92,1
5,5 6,9
0,6 1
88%
90%
92%
94%
96%
98%
100%
Bacterial count *
<50 50-100 >100
46 60
38 31
11 7
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Cell count*
<300 CS 300-400
400-500 >500
11
* Values are in 1,000 UFC/ml
Data from one dairy processor, involving 70% of the producers in Uruguay
CHILE • Milk production in Chile is
mainly located in the central, central-south and south part of the country.
• Dairy operations with year-
round and seasonal confinement are usually found in the central and central-south zones.
• Grazing systems are common in the south zone.
• International milk price influenced the pace of growth of milk production in Chile. With a +1% growth trend since 2006.
• Chilean average per capita annual milk consumption between 115 and 132 L during the last 20 years, with a record consumption of 145 L for 2012.
• Herd productivity in Chile has doubled during the last 8 years.
• The number of dairy operations and total number of milk cows have decreased.
• A national strategic plan to support competitiveness and milk quality of the dairy industry was created in 2004 with the Chilean Dairy Consortium (Consorcio Lechero) formed by producers, processors, and research institutions.
• Average SCC in dairy herds, however, have remained around 300,000 cell./mL during the last 10 years.
Pathogens associated to intramammary infections in Chilean dairy herds
• Streptococcus agalactiae prevalences are reported to be less than 1% among herds.
• Staphylococcus aureus has remained the main pathogen isolated from milk samples during the last 50 years.
• Historical reports from both the central and central-south zones Chile, shown an undulating pattern, ranging between 12 to 50% of culture-positive samples.
• For the south zone reports of Staph. aureus show a slightly increasing trend with current values around 40% of the culture-positive milk samples
• Mycoplasma spp. Prevalence of 7% Mycoplasma-positive bulk tank milk (BTM) samples was reported in Chile.
• However the presence of Mycoplasma in BTM, and Mycoplasma IMI within and between Chilean dairy herds is mostly unknown.
• Escherichia coli reported between 4% and 40% of the culture-positive milk samples for the south and central zones of Chile, respectively.
Pathogens associated to intramammary infections in Chilean dairy herds
1st RELIM Annual Meeting March 21-22, 2013
Manizales, Colombia
Visit us online at:
www.relim.org
Milk Quality Around the World
Recent Data from Germany
Christian Baumgartner
NMC 52nd Annual Meeting San Diego, CA, USA
Where is Germany?
www.mpr-bayern.de January 29, 2013 – slide 2
www.mpr-bayern.de January 29, 2013 – slide 3
14.2 mio samples/year 90 mio single analytical results
Some background figures…
2011 Germany Bavaria
Milk Production 29.7 mio tons 8.0 mio tons
Dairy Farms 84,504 38,958
Cows 4.2 mio 1.2 mio
Herd Size 50 cows (63/165) 32 cows
27%
46%
28.6%
2012
www.mpr-bayern.de January 29, 2013 – slide 4
Milk Quality – Recent Data
2012 Germany Bavaria
SCC 207,000 (5.8 mio samples)
171,000
TBC 17,000 (2.5 mio samples)
17,000
Inhibitors (positives ex-farm)
0.052 % (3.8 mio samples)
0.028 %
Freezing Point (>0.515 °C)
1.2 % (4.0 mio samples)
0.82 %
www.mpr-bayern.de January 29, 2013 – slide 5
91.8 % extra class (<50,000) 1.2 % of farmers being penalized for exceeding
100,000 (2 months` geom. mean)
regional differences in breeds! 84,2 % extra class (<300,000)
1.7 % of farmers being penalized for exceeding
400,000 (3 months` geom. mean)
89.9 % 0.7 %
SCC and Inhibitor Positives
0
0,2
0,4
0,6
0,8
1
< 125 < 250 < 500 > 500
SCC categories (1,000/mL)
Inhi
bito
r po
siti
ves
(% o
f fa
rms/
mon
th)
relative risk of a positive
1.0 1.5
3.3
6.4
0.13 0.19
0.43
0.83
www.mpr-bayern.de January 29, 2013 – slide 6
SCC in robotic milking systems
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecSCC robots (923) 182 188 178 178 185 196 210 211 207 192 185 181SCC reference (2,079) 172 172 171 170 177 184 193 191 191 182 177 176SCC Bavaria (37,306) 162 161 160 161 170 177 187 185 184 174 168 167
100
120
140
160
180
200
220
SCC
/m
L x
1,00
0
www.mpr-bayern.de January 29, 2013 – slide 7
Current Milk Quality „Issues“
• Milk quality is on a very high level in Germany! • Attention is paid to
– Use of antibiotics | avoiding residues in milk political discussion about resistant strains of different germs
– Residues of cleaners | disinfectants especially quarternary ammonium compounds and chlorine compounds
– Pathogenes
• Evolving topic tuberculosis, sporadic but „hot spots“ with high level of public attention
www.mpr-bayern.de January 29, 2013 – slide 8
Visit us! www.mpr-bayern.de
www.mpr-bayern.de January 29, 2013 – slide 9
New Zealand SCC
No. of cows (M)
No. of herds
Av. herd size
Milk processed
(BL) 2005/06 3.83 322 14.7 2006/07 3.92 337 15.1 2007/08 4.02 351 14.7 2008/09 4.25 366 16.0 2009/10 4.40 376 16.5 2010/11 4.53 386 17.3 2011/12 4.64 393 19.1
NZ dairy industry changes
Progress - June 2008 – Jan 2013
253
232
223
187
100
125
150
175
200
225
250
275
300
LICFonterra
200,000 cells/ml
Fonterra – monthly data since June 2008
100
125
150
175
200
225
250
275
300
2008/092009/102010/112011/122012/13
0
50,000
100,000
150,000
200,000
250,000
300,000
350,000
Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May YTD
2003/04
2004/05
2005/06
2006/07
2007/08
2008/09
2009/10
2010/11
2011/12
Fonterra average cell count, cells/ml
Safeguarding Animal Health
Milk Quality in the United States
Jason Lombard, Christine Kopral, Judy Rodriguez USDA:APHIS:VS,Centers for Epidemiology and Animal Health
Safeguarding Animal Health
U.S. Dairy Industry
• Demographics ~60,000 herds 9.2 M cattle Primarily Holstein ~122 cows/herd 9,700 kg milk/lactation BTSCC limit– 750,000 cells/mL
Safeguarding Animal Health 3
49.2% ops / 18.3% cows
32.6% ops / 56.4% cows 4.6% ops / 36.9% cows
9.9% ops 4.8% cows
3.4% ops / 1.6% cows
Safeguarding Animal Health 4
60.3% ops / 21.8% cows 39.5% ops / 78.2% cows
Safeguarding Animal Health
`
5
Safeguarding Animal Health
295 293 295 296 298290
282
263258
249
260
247
227 224
206197
313 312318 320
332
322313
296 293 293298
294
277272
235 235
180
200
220
240
260
280
300
320
340
BTS
CC
(X1,
000)
Milk-weighted and Producer BTSCCs 1997-2012*
BTSCC Milk wgt.BTSCC producer
Safeguarding Animal Health
175
200
225
250
275
300
325
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
BTS
CC
(X1,
000)
Milk-Weighted BTSCCs by Year and Month2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Safeguarding Animal Health
Percentage of Producers, Shipments, and Milk with BTSCC <400K
0102030405060708090
100
Perc
ent
Producers Shipments Milk
Safeguarding Animal Health
Antibiotic Residues in Milk (~4 million samples/yr)
0.00%0.02%0.04%0.06%0.08%0.10%0.12%0.14%0.16%0.18%
2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Perc
ent P
ositi
ve
Tanker Pasteurized Products Producer Other
FDA/CFSAN Data
Safeguarding Animal Health
EU Influence
• Export of dairy products to EU Since 2004, pooled milk tested EU audit performed in 2009 Pooled milk no longer acceptable – individual farm 3-month GM of 400,000 cells/mL requirement NCIMS rejected proposals to lower limit Enforced January 1, 2012
Safeguarding Animal Health
EU Influence • FDA Milk Sampling Program Underway – projected for 1 year Targets 900 farms with tissue residues and 2,000
without tissue residues. Evaluates for ~30 antimicrobials and anti-
inflammatories. FDA blind to where the samples originated
Safeguarding Animal Health
Residues • Antimicrobials
Chlorphenicol Nitroimidazoles Nitrofurans Sulfonamides Fluoroquinolones Beta lactams Tetracyclines Macrolides/tulathromycin Ionophores
• Mycotoxins
• NSAIDs • Anthelmintics • Other
Carbamates Pyrethroids Organochlorine
compounds PCBs Organophosphorus
compounds Dioxins PBDEs
Safeguarding Animal Health
Summary • Overall average BTSCCs from the four monitored FMOs
declined during 10 of the past 11 years.
• BTSCCs peak in July and August and are lowest during winter and spring months.
• Since 2001, overall BTSCC have decreased ~35%.
• BTSCC in 2012 will be the lowest of all years monitored.
• EU and FDA are pushing producers and increasing the quality of the U.S. milk supply.
Milk Quality Report CANADA
Greg Keefe1 and Dave Kelton2 1Atlantic Veterinary College
University of Prince Edward Island 2Ontario Veterinary College
University of Guelph
Symbols of Canada
Dairy Supply Management
From Canadian Dairy Information Centre www.dairyinfo.gc.ca
Just the facts
Total Herds
Total cows
(’000s)
Average Herd Size
Average production per cow (L)
Total milk production (’000 HL)
2012 12,529 959.1 76.6
2011 12,746 965.6 75.8 9,774 77,771
2010 12,965 966.2 74.5 9,768 76,732
2009 13,214 965.6 73.1 9,592 76,628
2008 13,587 984.7 72.5 9,642 75,926
Approx. 94% of cows are Holstein, 3% Jersey and 2% Ayrshire
Bacteria Count (12 month average)
Year Aug 1 to Jul 31
Herds IBC1
IBC arithmetic
mean
Herds CFU1
CFU arithmetic
mean 2011-2012 11,866 30,425 664 8,997
2010-2011 12,049 32,876 691 9,006
2009-2010 12,280 35,729 899 10,789
2008-2009 11,423 36,175 1488 9,811
1Some provinces used individual bacteria count (IBC) based testing and others used culture-based colony forming unit (CFU) counts based testing
Somatic Cell Count (12 month average)
Year Aug 1 to Jul 31
Herds Shipments BTSCC
arithmetic mean1
Median
2011-2012 12,530 Typically
every other day pick up
239,556 NA2
2010-2011 12,930 247,781 NA
2009-2010 13,179 250,458 NA
2008-2009 13,549 247,285 NA
1Provincial arithmetic means weighted by provincial herd numbers 2Medians not available because only provincial summary data published
Then it got interesting
Penalty level: Before Aug 1, 2012 = 500,000; After Aug 1, 2012 = 400,000
150,000
170,000
190,000
210,000
230,000
250,000
270,000
290,000
310,000
330,000
350,000
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
Se
p
Oc
t
No
v
De
c
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
Se
p
Oc
t
No
v
De
c
British Columbia
Alberta
Manitoba
Ontario
Quebec
New Brunswick
Nova Scotia
Prince Edward Island
2011 2012
200,000.00
210,000.00
220,000.00
230,000.00
240,000.00
250,000.00
260,000.00
270,000.00
280,000.00
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
Se
p
Oc
t
No
v
De
c
Jan
Fe
b
Ma
r
Ap
r
Ma
y
Jun
Jul
Au
g
Se
p
Oc
t
No
v
Weighted CANADA BTSCC
Weighted CANADA
2012 2011
0
10
20
30
40
<151 151-225 226-299 300-399 400-499 >499
Pe
rce
nt o
f He
rds
in R
an
ge
SCC Ranges (x 1,000 cells / ml)
Distribution of PEI SCC Test Results by Range
Nov-11 Nov-12
0
10
20
30
40
<151 151-225 226-299 300-399 400-499 >499
Pe
rce
nt o
f He
rds
in R
an
ge
SCC Ranges (x 1,000 cells / ml)
Distribution of ON SCC Test Results by Range
Nov-11 Nov-12
Other milk quality issues
• Adulterants – Inhibitor and added water testing
under provincial regulation
• Organisms – Varies between provinces – LPC, PI and CC counts – Mastitis pathogen PCR testing
• Raw Milk – Sale prohibited by federal law
Initiatives
• Dairy Farmers of Canada promoted a reduction in BTSCC limit to 400,000
• Adopted for August 1, 2012 by all 10 provinces
• Education programs • Regulatory reform
Education
Regulatory reform
Somatic Cell Count
• Weekly sample for monthly geomean
• Monthly geomean for rolling 3 month
• Penalties (year) – 1ST infraction $5/hL – 2nd $10/hL – 3rd $15/hl + board
review – 4th $20/hL/ + shutoff
Bacteria counts
• Weekly sample • 2 samples in a row
= infraction • No single test used
in 2 infractions • Same penalties as
SCC – Additional $3 level
in year 1
Is it working?
170
220
270
320
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov
SC
C T
est
Re
sult
s (x
1,0
00
c
ells
/ml)
Month of Year
SCC Results -Comparison of Tests for All Prince Edward Island Producers
Last Year This Year
170
220
270
320
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov
SC
C T
est
Re
sult
s (x
1,0
00
c
ells
/ml)
Month of Year
SCC Results - 24 Month Comparison of Weighted Tests for All Ontario Producers
Last Year This Year
Thank you
GB Milk quality January 2013 Elizabeth Berry
DairyCo
• Levy body for GB Dairy Farmers • Levy 0.2% milk price • Address market failure • R&D, Market Intelligence and Knowledge
Transfer
Facts and Figures
• Approximately 11,500 herds • 1.8 million cows in GB - 2 million in UK • Average herd size around 116 • Approximately 10% decrease in production
across UK in 2012.
Cow systems
Grazing to Indoors
Illegal to use manure or digestate in any form as bedding material
Decrease in 2012 Wet weather – poor forage Schmallenberg virus
Milestones for delivery
24,000,000
26,000,000
28,000,000
30,000,000
32,000,000
34,000,000
36,000,000
01-A
pr
22-A
pr
13-M
ay
03-Ju
n
24-Ju
n
15-Ju
l
05-A
ug
26-A
ug
16-S
ep
07-O
ct
28-O
ct
18-N
ov
09-D
ec
30-D
ec
20-Ja
n
10-F
eb
02-M
ar
23-M
ar
Litr
es /
Day
GB Daily Milk Deliveries
GB Milk Deliveries 2011/12 GB Milk Deliveries 2012/13
EU hygiene regulations 853/2004 All milk – liquid or cheese or products
Cell Count Bactoscan /Bacteria count
Three month geometric mean Two month geometric mean
<400,000 cells/ml <100 ,000 cfu
Minimum 1 sample per month Minimum 2 samples per month
UK 12 to 13 samples per result UK 8 to 9 samples per result
GB Milk Quality System
• Over 95% of milk goes off farm • Liquid and cheese contracts • Three laboratories - milk quality testing • Ring or proficiency trial testing organised by
DairyCo
Cell count in 000/ml
160
165
170
175
180
185
190
195
200
205
210
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Average
2009
2010
2011
2012
Bactoscan
0
5
10
15
20
25
30
35
40
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Average
2009
2010
2011
2012
Average cell count and bactoscan
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Cell count 187 187 193 196 195 197 194 192
192
188
Bactoscan 32 33 33 31 32 31 29 30
30
30
6-8 July 2015 Glasgow, Scotland