Thursday, January 24, 2013

Food for thought (a 3 course meal.....)

This week was a busy week. I’m not sure I was home much before 7pm most nights. I had several routine herd checks, a couple C-sections (on a Nigerian dwarf goat and a cow), calvings, sick cows and other “routine” things.

One of my herd checks was at one of our organic dairies. When I meet people that feel Organic products are so much better I like to ask the question “why?” What is it about Organics that makes you think that it is better? Most respond with “Because it’s milk and meat with no antibiotics in it and won’t cause antibiotic resistance in humans.” Unfortunately, this is a very superficial and un-informed understanding of what conventional farming is.

So, I thought I would clarify some things.  I realize I’m opening a can of worms with this one, but I feel like I should give a perspective from a veterinarian’s point of view (mine). I’m ready for all rebuttals….

Now, I’m all for people making their own choices, but I hope these choices are based on true educated facts rather than perceived opinions.  I have friends that are organic farmers so I’m not against it, I just feel that the public in general is misguided on the differences between conventional and organic.

Let’s start with a “definition.” Organic farming means that there is no antibiotic use on the animals for any reason (except in the case of life or death), no pesticides used on the crops and the crops are fertilized with only manure.  Let’s start with the animals…

During my routine herd check on my organic dairy, there were several cows that had hairy heel warts on their feet. Heel warts are caused by a spirochete. They are very contagious, painful and occur most commonly when the feet of cattle remain wet, and soft. There was one poor Jersey who was only standing on 3 legs because the wart was so big and painful, she couldn’t put the other foot down. Treatment in a conventional system, is cleaning the area of the wart, and applying oxytetracycline directly to the wart, and wrapping the foot so the meds stay in contact with the wart, killing it in 3-4 days.

Unfortunately, organic dairies can’t use tetracycline and have no efficient way of killing the warts, even though it is a topical administration. Other options for helping with warts, is using formaldehyde (dangerous) or a copper sulfate foot bath. Unfortunately, farmers have to be careful with amount of copper they use, as it ends up on the fields and can cause issues with the soil and runoff.  The copper doesn’t kill the warts, but rather hardens the hoof to prevent the spirochetes from having a medium to latch onto. These cows were going to have to rely solely on their own immune system with the help of a mineral supplement to help clear the warts.

The biggest concern that many people have with the use of antibiotics in conventional farming, is that the antibiotics end up in the milk and we are going to have an entire nation of resistant bacteria. The truth is- milk gets tested up to FOUR times before it ever reaches a milk carton.  If any ONE of those tests comes back with an antibiotic residue, the entire load of milk gets dumped down the drain. That can be 7000-8000 gallons of milk! That’s a lot of money for a farmer to pour down the drain, and is more than enough incentive to make sure there are no antibiotics in the milk.  Secondly, there are only about 4-5 types of antibiotics that are legal to use in dairy cows that are making milk: Penicillins, Tetracyclines, Ceftiofurs and one kind of Sulfa.  These antibiotics are some of the oldest antibiotics found and still have retained effectiveness in dairy cattle.  The really good drugs are saved for the humans.  

So when we give a cow an injection of antibiotics how do we know how long to wait before selling the milk???? Most antibiotics are metabolized through the liver and kidneys of animals (and humans). Depending on the type of antibiotic used, there are different “withdrawal times” that drug companies have spent many years and millions of dollars in scientific studies to figure out.    These withdrawal times are based on those studies. Amoxicillin, for example, is metabolized and is no longer detectable in the milk after 48 hours and is not detectable in the muscle, 7 days after the last injection.  Responsible farmers strictly adhere to these withdrawal times and some even add an extra day or two just to make sure, the antibiotic has been cleared from the cows system.  While the cow is clearing the antibiotics from her system, the milk is not sold for human consumption. Often times it is dumped down the drain on the farm.

Now from a humane standpoint, if a cows’ life is in danger, it is required that the cow be treated with antibiotics to save her life. She is no longer considered “organic.” The plus side to this is that Organic farms have to have really healthy cows in a really good environment.  If anyone has kids or knows kids, it doesn’t matter how healthy your kids are, various stresses, weather changes and environment changes can cause a really healthy child to become sick.  Cows have the same issues. 

As the veterinarian prescribing the antibiotics these conventional dairies use, it is my license on the line if my clients misuse the antibiotics. As the veterinarian for this farm, there is nothing more that I wanted to do for these cows, than to put tetracycline on all these very painful warts so they could walk on the 4 legs God gave them.  

Whether you choose to drink organic milk or milk from a conventional dairy, know, that farmers, and the veterinarians that are prescribing the antibiotics, are doing everything they can to make sure that the milk you drink is the most wholesome product you put in your body!

I’ll save fertilizers and pesticides for another day.  But, hopefully I’ve enlightened you to some of the differences between organic and conventional farming. If you still choose to eat/drink organic products, I’m okay with that.  But let me leave you with one final thought… If your child has been diagnosed with pneumonia, are you going to ask your doctor for Aloe pills and Garlic or the strongest antibiotic he can give so that your child suffers no longer than absolutely necessary????  (Getting off my soap box now.)

24 comments:

  1. Great post Carie! I myself go for the local milk and products!

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    1. I wish every consumer in America could own these facts! This morning, I am happy to share that out of our herd of 1300 cherished cows, only 2 are sick needing extra attention and requiring antibiotic treatment. We expect full and complete recovery for both! As a dairy farmer, let me assure you, their milk will NEVER enter our nations milk supply until they are once again healthy, and antibiotic free!

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    2. Carie, do I have your permission to print this information to share on all my Ag-Tours! I noticed you did not touch on the quality of milk, cell counts, etc. I DARE you!!!!

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  2. Well written Carie! We used to test the milk from each treated cow before allowing it into the tank. This further insured that we would not be introducing treated milk into the milk supply, and not be penalized by dumping milk. A VERY $$$ thing to have happen!

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  3. "Amoxicillin, for example, is metabolized and is no longer detectable in the milk after 48 hours and is not detectable in the muscle, 7 days after the last injection. Responsible farmers strictly adhere to these withdrawal times and some even add an extra day or two just to make sure, the antibiotic has been cleared from the cows system."--I have personally watched some farmers cut the withdrawl period of before the suggested time, I have seen farmers who milk such a large volume of milk specifically calculate how much "antibiotic milk" they can put in their tank without it being detected, so before you make conventional farmer look like the good guy and organic farmer the bad please be honest. Not every farmer is perfect by any means. Yeah, so you saw an organic farmer with a cow that was lame, well I have seen a hundred lame cows on conventional farms...what's your point. Yes there are treatments for organic cows and heels warts, maybe as a vet you are not doing your best job knowing what these treatments are and helping out the organic farmers, aka doing your job...and you may think I am just some outsider looking in, but I have grown up on an organic dairy farm, and went to school and have worked on a 1200 head conventional dairy for over 5 years. So take that as credibility or not I do not care. There is a different mind-set in conventional vs. organic farming. You are absolutely right, organic farmers do not have as many options to treat "sick" animals with, thats why our main goal is to prevent them. Conventional, they have everything they could possibly need to cure sickness, so most of the time...not saying all the time...they wait till it happens and do not focus ENTIRELY on preventative measures(or at least not to the same extent as organic farms). Again, I agree with you, every one has their own right to make their own choices, THANK GOODNESS, but when it is reputable people like you who speak your own OPINION, is what is hurting this industry. Because whether you want to believe it or not, we are all part of the same industry, your hurt the organic farmers and it will just end up hurting you guys too. Organic and conventional dairies balance each other. You have "good" and "bad" farmers reagardless if their farm is conventional or organic and I can personally say having a large amount of experience with both, I haven't seen a DA, ketosis, RP, metritis, fatty liver, foot rot, toe ulcers, calf scours, pneumonia, just to name a few on the organic farm in over 8 years..." As the veterinarian for this farm, there is nothing more that I wanted to do for these cows, then to put tetracycline on all these very painful warts so they could walk on the 4 legs God gave them."-->who's side are you on? Dairy farmers or PETA? Instead of making them sounds like horrible people, go out and find a cure, cause there are some, and I would be happy to share some that I know of if you'd rather stick to helping instead of picking sides and tearing the industry into two, instead of working together to help.

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    1. Abby- First of all, thank your for posting your thoughts! I apologize if this came across to you as tearing apart the dairy industry in the form of Organic vs. Conventional. First and foremost I am PRO-AGRICULTURE. I have had organic clients that do a phenomenal job as dairymen just as I have had the same with conventional farmers. My goal of this post was to demonstrate that the milk and meat on the store shelves is not riddled with antibiotics like popular media would like you to believe. There are consequences to these actions and the food that is on the shelf truly is safe even if it came from a conventional dairy.

      The key component in my first statement you highlighted was RESPONSIBLE farmers. I will never deny that there are good and bad farmers. Unfortunately, the bad farmers are the ones that get the press and have the dairy industry as a whole, fighting an uphill battle. The testing used these days in slaughter plants and milk plants are much more sensitive then they were several years ago. There are people that cheat, both organic and conventional, but as a whole, I would say that the dairy industry is fully aware they are producing food for human consumption and do what they can to ensure that it is safe.

      As far as the heel warts go, yes they are on a large majority of farms, organic and conventional. As a veterinarian, I fully support judicious use of antibiotics, but feel that we have them as a tool in our tool box and if an antibiotic will relieve animal suffering, then I am a proponent of using them in a RESPONSIBLE fashion. There is work currently being done at the University of Florida, on heel warts. A vaccine has been on the market for some time, but it's effectiveness is not the best. Hopefully with time there will be a cure and all cows, whether they are raised on a conventional dairy or an organic dairy will not suffer from these pesky warts!

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  4. I'm more concerned about hormones in the milk that my daughters drink. Care to elaborate on that?

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    1. Yes, there are hormones that are used in various reproductive programs on conventional dairy farming. These hormones are metabolized just like the antibiotics and other medications, by the cow. I have posted a link with some insightful information on estrogen containing compounds in common feedstuffs, both human and animal. There are far more phytoestrogens in plant compounds than in animals. I would not hesitate one bit about feeding your daughter milk from cows that have had hormones. There is negligible amounts in the milk and it is truly safe to drink! Dairy farmers are under a tremendous amount of scrutiny from the FDA and the USDA. They are highly regulated as they produce food for human consumption and these hormones have all been evaluated by the FDA. Thanks for your comment/question!

      http://www.ranch-way.com/images/uploads/content/Phyto%20Estrogens.pdf

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  5. What about the welfare of the cows? I'm no PETA person but I am not a proponent of factory farming. Is it true that organic farms care for their animals differently?

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    1. The only differences between how organic and conventional farmers care for their dairy cows is their use of antibiotics and the required amount of time organic cows must be outdoors. Check out my post on "Debunking the Evils of Factory Farming!" I can assure you that conventional farmers take very good care of their cows- they have to or they don't make milk.... As an industry we strive to continue to improve how we treat our cows and get better and better every year!

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  6. Many years ago(mid 80's) I worked on a farm that sold replacement heifers to a now well known organic dairy in the Northeast,,,Still in business and well known for their yogurt.
    I have never seen a dirtier young stock barn ever!!! Organic does not mean better it is about animal husbandry rather than PC labels

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  7. Hi Carie, I have to admit I read your article with no small amount of indignation. To say organic farms can only use antibiotics in life or death situations is a ridiculous dumbing down of the situation. Organic farms can use antibiotics in any case where the welfare of the animal will be compromised without their use. Now admittedly, and in some cases unfortunately, it's up to the individual farmer to decide on individual cases. If he or she goes ahead and uses an antibiotic, the time they must wait before putting the milk back in to the collection tank is far beyond the conventional farmers withdrawal period. And to say that most dairy farmers pour the milk from antibiotic treated cows down the drain is also unfairly misleading - the milk is commonly fed to calves being raised on the farm is it not? And therefore exposes their gut flora especially, to low levels of antibiotic? You say you are pro-agriculture, does this mean you also embrace injecting day old chicks with an extended release ceftiofurs? Or using daily doses of antibiotics in feedlot animals to promote growth? Or large dairies buying their pallet loads of antibiotics straight from the drug company and bypassing veterinarians altogether? And while I remember - you regard ceftiofurs as an 'old' antibiotic? The cephalosporins are ceftiofurs and are some of the most modern antibiotics available. 'The mass application of ceftiofur to food animals housed in intensively managed, population-dense environments in the absence of a strong veterinarian-client-patient relationship will lead to the further dissemination of extended-spectrum cephalosporin resistance among enteric pathogens.' I copied that last sentence from a research paper published last year which should highlight to you exactly how much scientists are concerned about the use of ceftiofurs in agriculture.

    I appreciate what you're trying to do, I absolutely agree that there are good and bad farmers in both organic and conventional farming. But your article is misleading at best and in some aspects absolutely wrong. Whilst it may reflect your own personal experiences, it does certainly not reflect the industry as a whole, and it's wrong of you to imply that it does.

    And seriously, when someone asked about hormones in milk, you didn't think to mention bovine somatotropin (BST)??? The American Cancer Society has issued this statement; It is not clear that drinking milk produced using bovine somatotropin significantly increases IGF-1 levels in humans or adds to the risk of developing cancer. More research is needed to help better address these concerns.

    Findings of a research study into using BST in dairy cattle indicated an average increase in milk output ranging from 11%–16%, a nearly 25% increase in the risk of clinical mastitis, a 40% reduction in fertility and 55% increased risk of developing clinical signs of lameness. Obviously the use of BST is detrimental to the welfare of an animal (and would increase the use of antibiotics as a result) and potentially detrimental to the health of humans yet you never thought to mention it in your response? It's probably also worth mentioning that organic farmers can't use BST.

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    1. Thanks for the response. I would like to start with the rBST topic and work my way back through your post. I may have to do this in two responses as I am limited on characters/ response.

      Yes, rBST is still being used in the dairy industry. You are correct that I failed to mention this in my response to the person asking about hormones and I apologize for that.

      Let me discuss a little bit about what rBST really is. It is a naturally occurring PROTEIN hormone found in cattle. It is secreted from the pituitary gland and does play a role in growth but also plays a role in metabolism. Like all proteins, BST is degraded when ingested. They actually had to make it, in an injectable form because it is inactive when fed orally, much like insulin. The human pituitary also secretes growth hormone however its structure is 35% different than that of cattle. Because of this dramatic difference in amino acid sequence of the protein, it will not bind to the human receptors and elicit any type of response.

      You also bring up the increases in IGF-1. Studies have been shown that the general fluctuations in IGF content in cattle vary between cows, between herds and even throughout a single cow’s lactation cycle. The American Cancer Society that you quoted has further up in the report that the slight increase in variation is much less than what the normal variation is based on natural factors. It also stated that when the FDA did its investigation into the safety of BST it found that even if it WASN’T degraded when ingested orally and we assume full absorption that it would only increase an INFANT’S blood concentration LESS than 1% of what the infant is NORMALLY producing.

      You also bring up the increase in antibiotic use due to an increase in mastitis. Yes, they found a slight increase in the amount of clinical mastitis cases; however, it was LESS than a fourfold increase in the normal variations that we see based on season and stage of lactation. Secondly, if there is such an increase in mastitis, because mastitis can be costly to treat, farmers wouldn’t use it. Thirdly- even if there truly IS this increase in mastitis, the pathogens causing the mastitis are still the same and are treated with the same antibiotics as any other case of mastitis. Therefore the withdrawal times must still be met and all the same testing occurs with the farmer being fully responsible for any positive residues.

      Ok, so now let’s go back to the use of antibiotics in organic dairies. If the welfare of the animal is indeed in jeopardy, then yes, they are allowed to give antibiotics. However, this is directly from the USDA regulations on organic; “The producer of an organic livestock operation must not withhold medical treatment from a sick animal in an effort to preserve its organic status. All appropriate medications must be used to restore an animal to health when methods acceptable to organic production fail. Livestock treated with a prohibited substance must be clearly identified and shall not be sold, labeled, or represented as organically produced.” So, because farmers have to sell these animals, they are much more hesitant to treat an animal in the event of a minor sickness where as a conventional farmer will treat the animal, follow the withdrawals and continue on with business.

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    2. Now, let me address the treated milk to the calves. Fewer and fewer farms are feeding treated milk to their calves due to an inconsistent supply and the health issues associated with feeding unsuitable milk to calves with a naïve immune system. Those that do, many of them use a pasteurizer before feeding it. When it is being pasteurized, the antibiotics are also heated and deactivated.

      Your comment about farms buying pallets of antibiotics bypassing a veterinarian is not true. This is a huge issue in the veterinary world. There is a veterinarian writing a script for these drugs, they have to. The trouble lies in what you mentioned about a veterinary-client-patient relationship. As veterinarians we do struggle with those less ethical veterinarians that are willing to write scripts without a VCPR. This is one challenge our industry faces that we are continuing to work with the FDA, USDA and various veterinary groups on rectifying.

      Finally Cephalosporins are the newest class of antibiotic that we can use in lactating dairy cows. However, the newest releases are the 4th generation of cephalosporins. 1st and 2nd generation antibiotics have been around longer and were used effectively in treating mastitis. Cephalosporins are under strict regulation by the FDA where it is illegal for veterinarians or farmers to use these outside of label indications. No one takes these regulations lightly. Again, these drugs still retain effectiveness and with as strict as the FDA is with approving drugs for use in lactating dairy cattle, we are lucky to have the few drugs we do have. Other countries have many more options to choose from.

      I am from the northeast and although I have spent time in the Midwest and California, I do not have experience with chicken farms or large swine operations and know far less about how they operate when compared to dairy farmers. I thought I made that clear when I discuss that I’m a cow vet. Regardless, I still am pro-agriculture and think that when people actually start talking with chicken farmers, beef producers and really understand what their story is and why they do what they do, you are truly enlightened that how we care for animals isn’t really all that bad. Yes, there are issues that the industry faces every day and things we need to continue to improve on, but farming isn’t as wicked as what the media plays it out to be. We have a huge responsibility to feed millions of people and every farmer, whether they are beef, chicken, dairy or pig, are fully aware of this responsibility. It’s our life, it’s what we do and we do take pride in it.

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  8. I'd like to address the other side of the coin - since I was looking forward to read this article about beef, not milk. (Blog from a cow vet vs blog from a dairy vet).

    Antibiotics are fed regularly to beef cattle because they are fed corn. For those of you who don't know (and I was one until recently), CORN is NOT a natural food of a bovine (cow). In fact, feeding it to them, in an attempt to fatten them 30% faster than with grass (and in a MUCH smaller area), DESTROYS their digestive track. This is why they need antibiotics, because their guts are all tore up. Have you seen a cow sh!t at a feedlot? It's like spittin' through a screen door. Now, have you ever seen a cow chip throwin' contest? That is the difference between grass fed and corn fed.

    So the corn destroys their intestinal track and when it does that, just like in people whose guts are all tore up, it leaves them open to every bug, germ and disease that happens to float along in the breeze. Think of it like this ladies, when you take antibiotics for that sinus infection (especially a Z-pack), what happens? Yep, itchy crotch aka yeast infection. Doctors go so far as to prescribe Diflucan with antibiotics now with women so they don't see them back in three days with an yeast infection. Same with cows. This is what is most concerning to me. If we fed them what the good Lord intended them to eat, we wouldn't have to mix their feed with antibiotics. But in the name of factory farming and profit, lets take all the farm out of it. Let's just call them little factory workers - underpaid, in violation of child labor laws and no overtime.

    Doctor - how many hours a day do dairy cows get to spend outside at a factory farm vs and organic farm? Kids and critters all need sunshine to stay happy and healthy - there's nothing wrong with happy cows.

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    1. Beef Eater from Iowa, I would like to address several points you make in your response. I may be a dairy vet, but dairy cows and beef cows all have the same type of stomach and I am a little bit more educated in beef practices than I am in chicken and pig of which I have repeatedly admitted to.

      So to start, yes for the last 4-6 months of their lives, they are in a feed yard where they are fed a diet high in corn and grain. This is to increase the marbling that so many people want in their steaks. The other 18 months of their life, they are raised grazing the land that is unsuitable for crop production. Actually 85% of the land used for grazing beef cattle is unsuitable for any type of crop production allowing a doubling of food production that can occur in the available land base.

      Now, the part where corn “is not a natural food for a bovine” is incorrect. Corn is considered a starch. It can be harvested as silage where the stalk and the ears are combined and fermented into silage. It can also be dried down even further in the field where it is then picked and only the kernels are used. They can be rolled, cracked or crushed, allowing the inside of the kernel, the starch, to be available to the rumen bugs. It is a very natural feed for cattle and is an incredibly valuable feedstuff in all of agriculture.

      When cattle are transitioned to any different type of composition of feed, it takes approximately 2 weeks for the bacteria in the stomach to transition and be able to digest the food the cow is eating. Some of these bacteria are better at digesting the cellulose in grasses and forages, others are better at digesting the proteins while yet others are better at digesting starches. When these cattle are transitioned to a high (60-80%) grain diet, there is just a” redistribution” if you will, of the number of bugs of each type in the stomach. Cattle HAVE TO HAVE fiber in their diet or their stomach pH will drop to dangerous levels and become acidotic. This is the condition in which you allude to when you say their stomach is permeable to bacteria. When cattle do suffer from acidosis, you are correct, the stomach becomes permeable to different types of bacteria, such as clostridium, E. coli and others that take over and can kill the animal quite quickly. Although the stomach pH of a steer in the feed yard is going to be much lower than that of a dairy cow, it is still not to the point where it is deadly. If it was, there would be MILLIONS of dead cattle in feed yards.

      If anything, cattle in the feed yards are under a more critical eye when it comes to rumen pH, feed concentrations and nutritional balancing of rations because of the dangers of what happens when they are incorrect. The antibiotics fed to cattle in feed yards are largely due to the co-mingling of animals from multiple source farms and the concern for respiratory infections at the time of co-mingling. The other “antibiotics” that are often the victim of these jabs, is actually something that is fed to help with the quality of lean tissue the animal is laying down. It is used to help with metabolism and has added antimicrobial properties.

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    2. As I’ve mentioned in other responses, the FDA very tightly regulates antibiotic use in the milk and meat produced in the United States. Management practices between industries, between parts of the country and even between farms is going to vary. If you are still unsure, find a local producer and ask them the questions, have a discussion with them. They are going to be able to answer you much more accurately and more completely than someone thousands of miles away and responding via a computer.

      To answer your questions about hours outside in conventional vs. organic- It depends on the part of the country you are in…. Many farms in the west and southeast have open dry lots where the cows have access to shade but spend the majority of the time outdoors. In the Northeast, most all cattle are housed inside a barn. They have open sides to the barn where they do get direct sunlight, but may not have actual hours outside on dirt. There are many farms however, that have youngstock out on pasture and then when they become lactating cows, are moved into a freestall and have a more controlled environment.

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  9. Believe me, most of the pro-organic people I come across on the Internet would definitely choose aloe pills and garlic over antibiotics. Don't you know the pharmaceutical industry is part of a government conspiracy to sterilize children in order to keep the population in check?

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  10. Carie I applaud your commitment to agriculture and to your blog - many thanks for taking the time to compose your detailed response. I think we will have to agree to disagree on some issues :) but I wish you all the very best in everything you do. I'm a companion animal veterinarian in the UK but am closely involved with farm work at home on my family's organic dairy and sheep farm in south west Scotlan www.creamogalloway.co.uk

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  11. Interesting article!
    We are small-scale farmers, specializing in vegetables. We also raise lambs and chickens. We allowed our Organic Certification to expire sometime ago as we felt that it limited the choices we had when caring for our animals and growing our crops.
    And...I don’t mean to nit-pick here…but, there are indeed ORGANIC pesticides. This common mis-statement is so frustrating. You might want to read this.
    http://www.npr.org/blogs/health/2011/06/18/137249264/organic-pesticides-not-an-oxymoron
    The Organic Materials Review Institute publishes list of formulations that are both allowable and prohibited.
    http://www.omri.org/omri-lists
    Thanks for your time.
    Barbara Womack
    Homestead Hill Farm
    www.homesteadhillfarm.com

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  12. Wow very educational!! Thanks for the post!!

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