In 2006, a milk quality assurance programme (MQAP) for paratuberculosis in Dutch dairy herds was initiated. The aim of this MQAP is to reduce the concentration of Mycobacterium avium subsp. paratuberculosis (Map) in bulk milk 1, 2, 3. The MQAP is run alongside the pre-existing "Intensive Paratuberculosis Programme" (IPP; aiming at elimination of Map and low-risk trade of cattle 4). At present, approximately 99 of Dutch dairy herds participate in one of the two programmes 5.
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