Background Diarrhea is one of the most common diseases and causes of death in calves during the first month of life. Pre-calving vaccination programme (PVP) against the most common diarrhea-causing pathogens could help to avoid this threat if hyperimmune transition milk (TM) is fed to calves throughout the whole susceptibility period. The aim of this retrospective cohort study was to reveal the implementation practices of PVPs in large commercial dairy farms and to compare calf-level mortality hazards during the first year of vaccination (V+ period) and a year before implementing the vaccination programme (V- period). A questionnaire was filled out in 15 large-scale dairy farms in Estonia that used PVP. The farms were assigned into three groups based on compliance with the vaccine directions for use and TM feeding practices. Calf-level time-to-event data was analyzed with an observation period of 21 days and on-farm mortality due to diarrhea being the event of interest. Results During the V+ period, a significant decline in diarrhea-induced calf mortality was identified in three out of six herds that followed vaccination instructions and fed TM for at least 14 days. On average, calf mortality hazard due to diarrhea decreased among these herds (hazard rate ratio (HR) = 0.72, 95% confidence interval (CI) 0.63; 0.81). In the group of correctly vaccinating herds where TM was fed for less than 14 days, diarrhea-induced calf mortality decreased in two herds and remained unchanged in two herds with average diarrhea-induced calf mortality hazard declining significantly during the vaccination period (HR = 0.24, 95% CI 0.14; 0.41). Among the three farms that deviated from the vaccination instructions, the average calf mortality hazard increased in the V+ period (HR = 1.61, 95% CI 1.21; 2.14). Conclusions This study revealed that implementing a PVP might aid to reduce diarrhea-induced calf mortality in large commercial dairy farms. There is a need to increase veterinarians´ and farmers´ awareness about the importance of including pregnant heifers into the vaccination programme and emphasize the importance of prolonged feeding of hyperimmune TM to calves.

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Although calf mortality is a multifactorial problem, little is known about the attitudes and personalities of calf care workers (CCWs) and their association with calf mortality. This study aimed to describe the attitudes, satisfaction, and personality of CCWs in large Estonian dairy herds and to analyze their associations with herd calf mortality. A questionnaire registering CCWs' attitudes toward their work and calf mortality, personality characteristics, satisfaction and importance of different job-related factors was developed. In total, completed questionnaire data of 161 CCWs from 108 large (>100 cows) Estonian dairy farms were analyzed. Herd-level yearly calf mortality risk (MR) was calculated. Cluster analysis and variance partitioning analysis were applied to reveal the explanatory capacity of CCWs' attitudes and personalities on calf mortality. The mean yearly herd-level calf MR was 5.4% during the first 21 days of life and 2.7% during 22–90 days of life. Although good calf health and low calf mortality was important for CCWs, dead calves were often seen as inevitable. CCWs were generally doubtful regarding their capacity and available knowledge to influence calf mortality. In high-mortality herds, CCWs were dissatisfied with the calf health situation and farm working equipment and felt that the situation was out of their control. Despite striving, they had less faith that farmworkers could affect the outcomes, such as calf mortality. CCWs' personality domains explained <5% of the variance in the herd's calf MR, whereas their attitudes and satisfaction explained 20% of the variability in calf MR. The current study revealed the importance of the attitudes and satisfaction of CCWs on calf mortality and highlighted the need to allocate proficient assistance to herds with high calf mortality to mitigate calf health problems and the resulting consequences for CCWs.