Organised disease control started in the Netherlands in the 18th century wi
th governmental attempts to eradicate cattle plague. At the beginning of th
e 20th century, the dairy industry and cattle breeding organisations initia
ted a programme to control infectious diseases by means of a complex system
of rewards acid penalties. This was also the reason for establishing the A
nimal Health Service in Friesland in 1919. The history of programmes to con
trol paratuberculosis in sheep, goats, and cattle in various countries is d
escribed. The vaccination of young animals seems to be an effective measure
in the prevention of clinical paratuberculosis, although changes in manage
ment and hygiene practices are also important. A control programme for infe
ctious cattle diseases has a number of phases (a lifecycle) and different c
omponents. Two components are essential for success, namely: open and regul
ar communication with farmers, veterinary practitioners, and other people i
nvolved and a good registration and identification system for cattle, herds
, and veterinary practitioners. The Dutch paratuberculosis programme has 10
herd status levels: 5-10 for non-suspect herds and 1-4 for infected herds
or herds of unknown status. The higher the status, the greater the chance t
hat a herd is fret: of paratuberculosis. An outline is given of the Dutch p
aratuberculosis programme including its objectives, basic principles for er
adication, communication plan, legal action, logistic considerations, and c
omplementary research programme. (C) 2000 Elsevier Science B.V. All rights
reserved.