V. CONCLUSIONS AND RECOMMENDATIONS
126. We began this inquiry with an open mind on
the implementation of the Krebs report. We have been convinced
by all the evidence we have received that the severity of the
increase in bovine TB in cattle should make finding a means of
control a high priority for the Government. We have also been
persuaded that the package drawn up by Professor Krebs and fleshed
out by Professor Bourne offers the best hope of finding a scientific,
effective and lasting solution. This does not mean that we advocate
the slaughter of badgers in the pursuance of either science or
ignorance but there are other considerations of public health,
animal welfare, the livelihood of farmers and public expenditure
which justify the trial. We expect and hope that the minimum number
will be killed in the most humane fashion that is consistent with
the generation of valid scientific results and only as authorised
by the Bourne Group. To ensure this, we reiterate our recommendations
concerning the establishment of proper procedures and external
auditing for the trial.
127. We are not convinced that the Government has
been effective in getting its message across to the general public.
The levels of anxiety among badger groups and farmers need to
be addressed as a matter of urgency by clear up to date information
offered in an open and transparent fashion. The secrecy which
characterised the BSE situation is not easily forgotten by the
public. We are also concerned at the lack of urgency displayed
by MAFF officials in implementing the trial and other aspects
of the programme. It is essential that lines of responsibility
are clearly drawn and the strategy proceeds in line with declared
objectives. This applies also to the Bourne Group which has a
particular responsibility in ensuring that the entire package
remains high in the Ministry's priorities. The Minister himself
has shown commitment. We are impressed by the number of meetings
he has held on this issue and his promise to visit every triplet
to hold public discussions.[383]
However, it is vital that he provides sufficient resources in
good time and keeps up the pressure on his officials to see the
programme through.
128. Other groups and individuals also have a part
to play in ensuring the development of a sustainable policy which
will benefit all sides. We were deeply concerned by the Wildlife
Trusts' attitude towards compliance. While we accept that as a
membership organisation, they must listen to their members, we
believe that they have a responsibility to show more leadership
and to consider the issue in a more balanced fashion. While the
NFBG raised many objections to the trial, as did their affiliate
groups, they have not advocated disruption and the NFU and TFA
have also made efforts to reassure their members of the long term
benefits of compliance, even at the very high short term costs
of sustaining herd breakdowns on their farms. We hope that the
Wildlife Trusts will reconsider their decision not to comply.
129. While the veterinary workers consider themselves
practitioners in this field and we appreciate they have an important
role to play in implementing disease control programmes, we were
concerned at their attitude towards a scientific approach and
science based policy. As a highly respected profession, they must
take seriously the responsibility devolved on them and accept
the limitations of knowledge and the need for scientific underpinning
for all procedures and policy decisions. Indeed, many of the recent
problems with disease control in farm animals have been the result
of an unscientific approach and without question this has resulted
in the current problems we are experiencing with TB in cattle.
An interesting observation is that just 10 years ago a simple
controlled trial would have provided sufficient evidence for the
Krebs group to suggest policy options but since this scientific
approach was never taken, we now require more rigour that can
only be provided through an expensive experimental design.
130. Like all those who contributed to our inquiry,
we wish to see a well-defined policy on the control of bovine
TB in cattle which will reduce the incidence of the disease and
allow badgers and cattle to continue to share farmland as they
have always done. We believe that the Krebs report, properly and
speedily implemented, offers a real chance of providing the information
necessary to develop a sustainable policy, based on a variety
of measures to suit different situations. This trial and the accompanying
research should ensure that in future it will no longer be the
case that the only option open to farmers is to kill badgers,
whether or not they are the true source of infection.
131. Our other principal conclusions and recommendations
are as follows:
Lessons from previous policies on the control
of bovine TB
(a) To avoid the charge
in future that "significant amounts of public money [have
been] spent on TB control measures that were inadequately thought
through and were not subject to adequate scientific scrutiny",
it is essential that future policy in this area is based on sound
science and conclusive evidence and commands the full commitment
of all parties involved (paragraph 12).
Other wildlife species
(b) We recommend that
MAFF ensure that a thorough and well designed sampling procedure
of wildlife species other than the badger be put in place in the
badger removal areas to determine if M. bovis can persist
in other species when badgers are removed. This sampling should
concentrate on species with frequent contact with cattle including
rats, ferrets and deer (paragraph 17).
Cattle to cattle transmission
(c) We recommend that
further research be undertaken into the relative importance of
cattle to cattle transmission of bovine TB and means of controlling
it (paragraph 18).
Public health implications of the rise in incidence
of bovine TB
(d) The public health
risks of the situation are extremely low. Comparisons have been
made to the BSE crisis at various points throughout this inquiry
but we wish to emphasise that there is no call for the public
panic on that issue to be reignited over bovine TB (paragraph
26).
(e) While the public
health implications of any disease must be borne in mind and the
lessons of the BSE case indicate the growing public need for information,
we agree with Mr Rooker that the risk in this case "is not
great" and we believe it should not be overplayed. We are
concerned that the rise in bovine TB in cattle may be misunderstood
and misrepresented in the media as being linked to the disturbing
rise in the number of human TB cases in Britain, Eastern Europe
and the USA. These are caused by the bacterium M. tuberculosis,
a quite distinct species from that responsible for bovine TB (paragraph
26).
Conclusions on the rise in incidence of bovine
TB
(f) The rising incidence
of bovine TB is a serious problem, with implications for public
finances, the farming industry and animal welfare (paragraph 27).
(g) The consequences
to the farming industry if current levels of TB incidence are
maintained, or worse continue to increase, clearly warrant the
attention now being paid to the issue (paragraph 30).
(h) It is evident
that a policy is needed to control bovine TB in cattle on economic
and animal welfare grounds. It is also clear from the rapid rise
of the disease that a solution is needed with some urgency if
the problem is not to gain an even greater hold on ever widening
areas of the country. The latest statistics on the increased rate
and widening geographical distribution of herd breakdowns are
alarming. We believe that MAFF should pay more attention to identifying
the principal cause of this increased rate. One approach would
be to apply models and examine whether the spatial and temporal
patterns observed could be accounted for as a consequence of the
cessation of the badger cull in 1997. Other factors and hypotheses
must also be addressed. These should include the movement of cattle
between farms, the presence of other immuno-suppressive infections
such as Bovine Immunodeficiency Virus (BIV), the direct and indirect
consequences of BSE, climate change and possible nutrient deficiencies
(paragraph 32).
The Krebs review
(i) We agree with
Professor Krebs that the terms of reference for his review were
appropriate and not restrictive, but we understand the concern
of the conservationists about the fact that the title of the review
was "Bovine tuberculosis in Cattle and Badgers" (paragraph
34).
(j) We accept Professor
Krebs's conclusion that the evidence of a link between badgers
and cattle TB is compelling but not conclusive and that a field
trial is required to test and quantify the link between badgers
and cattle (paragraph 40).
(k) We conclude that,
seen in context, the number of badgers likely to be culled in
the trial will not substantially affect the overall UK badger
population and is justified in pursuit of a soundly-based policy
which should save unnecessary slaughter of both badgers and cattle
in the future (paragraph 42).
(l) We conclude that
Krebs' approach of combining a culling trial with other research
is the correct one and we see no reason why any of the Krebs proposals
should be abandoned. We agree broadly with Krebs' conclusions
and recommendations (paragraph 43).
(m) We are convinced
that more attention should have been paid by Krebs to the role
played by husbandry in preventing TB breakdowns. We regret that
Professor Krebs and his colleagues were unable to review the literature
relating to this important area with the thoroughness of the rest
of the report (paragraph 44).
Implementation of the Krebs report
(n) We regret the
delay between the publication of the Krebs report in December
1997 and the Government's announcement of 17 August 1998, two
years after the start of the Krebs inquiry, especially given that
no policy to control bovine TB was in place at all during that
period (paragraph 52).
Vaccine research
(o) The problem of
skin testing is of particular concern to farmers as an inability
to distinguish between infected and vaccinated cattle could lead
to a herd losing its tuberculosis-free status under EU regulations
and thus prevent a farmer exporting his animals or selling unpasteurized
milk. It is essential therefore that a test is developed in line
with a vaccine for cattle which allows the distinction to be made
and which is accepted throughout the EU and by the European Commission.
The Government should keep the EC informed of developments
in this field (paragraph 56).
(p) We assume that
the Bourne Group's responsibility for advising Ministers on vaccines
and vaccinations includes the monitoring of progress on vaccine
development recommended by Krebs but would welcome clarification
of this point (paragraph 57).
(q) We agree that
the correct approach for the development of a cattle vaccine is
to piggy-back on the work on vaccines for humans and we recommend
that the Government review its entire TB vaccination strategy
to ensure that sufficient funding is given as a priority to human
vaccine development, that research is conducted into the difference
between TB in cattle and humans, and that UK scientists have access
to the latest developments in this field (paragraph 58).
(r) The difficulties
with delivering a badger vaccine persuade us that a cattle vaccine
offers more potential in the control of bovine TB, although we
advocate the continuation of research into a vaccine for badgers
(paragraph 59).
(s) We agree with
the Minister that because of uncertainties over vaccine development
it is necessary to proceed with the Krebs programme on all fronts
(paragraph 60).
Research into transmission
(t) We disagree with
the suggestion that it is unnecessary to prove how a disease is
spread in order to deal with it successfully, as it would answer
much of the debate if the transmission routes were to be identified
(paragraph 62).
(u) We recommend that
MAFF provide more funding for research modelling spatial distribution
of transmission patterns and routes commissioned from the best
scientists in the field (paragraph 62).
Leg cuffs
(v) Although we have
not been persuaded that leg cuffs would injure badgers, for the
sake of public perception, we urge MAFF not to pursue this route
(paragraph 64).
Road traffic accident suvey
(w) We recommend that
the road traffic accident survey be implemented in the counties
identified by the Bourne Group as soon as possible in order that
information may be gathered to substantiate that from the culling
trial. For counties outside the culling trial, we recommend that
the Bourne Group determine how many badgers are necessary to identify
prevalence within acceptable limits and the cost-effectiveness
of such an exercise (paragraph 66).
Trace elements
(x) The Government
should investigate the potential role of trace elements in the
incidence of TB in cattle. Questions on this subject as regards
cattle are to be included in the epidemiological questionnaire
but we recommend that in determining future research projects
the role of trace elements in susceptibility to bovine TB in cattle
and badgers should be specifically included. Indeed, part of the
failure of MAFF to control TB is probably because it has concentrated
its efforts on aspects of exposure to infection and failed to
address more specific questions on the factors influencing susceptibility.
This is surprising since tuberculosis in humans is generally considered
a disease to which weakened individuals are more susceptible (paragraph
67).
Funding for research
(y) We recommend that
MAFF ensure that funding for research into bovine TB remain a
priority and that the level of funding is sufficient to ensure
that the programme of research recommended by Krebs be completed
(paragraph 69).
Implementation of the research programme
(z) While we acknowledge
the time needed to complete the process of putting proposals out
to tender, we believe that the lack of information on the research
programme at a time when the culling trial was underway contributed
to the impression of MAFF bias against the badger in the eyes
of many witnesses. This was at best unfortunate. Coupled with
the continued indecision over the road traffic accident survey
and the withholding of information on the trace elements experiment,
it has done much to undermine the goodwill of the animal welfare
lobby and to break the perception of the Krebs report as a package
of measures, rather than as the culling trial alone (paragraph
70).
Length of culling trial
(aa) The delays in
implementation carry the danger that the trial will have to continue
for seven years, two years longer than the period which was already
causing such concern to farmers (paragraph 74).
Trial design
(bb) Although many
witnesses claimed that the design of the trial was flawed, we
have not been persuaded by their criticisms and feel that many
of the protagonists have been irresponsible in using the term
in a misleading manner. We are concerned about the logistical aspects of reducing the statistical
power but in no way could we discover that the trial was scientifically
flawed (paragraph 77).
Closed season
(cc) We recommend
that the number and age of cubs and lactating sows caught in culling
operations after the closed season be monitored to assess the
efficiency of the closed season policy (paragraph 79).
Co-operation with the trial
(dd) Organisations
such as the Soil Association whose members wish to keep TB-free
badgers on their land have to opt out of the trial to ensure that
they are not forced to allow culling. We understand this view
but conclude that the wider interests of the farming community
must be to co-operate fully with the trial. We are less sympathetic
to the attitude taken by the Wildlife Trusts whose position demands
that they act responsibly on such issues and we urge them to consider
what message their non-compliance sends to others for whom non-compliance
with the trial would take different forms such as illegal culling
of badgers (paragraph 81).
(ee) We recognise
the concerns expressed by one badger group that "unscrupulous
individuals could well take advantage of conveniently caged badgers"
for use in badger-baiting. Such activities are of course illegal
and we ask the Bourne Group through MAFF for reassurance that
all traps are checked sufficiently regularly to prevent this occurring
(paragraph 82).
(ff) We agree with
the recommendation of English Nature that the Bourne Group gather
what information it can about the scale of illegal culling
(paragraph 84).
(gg) Many groups will
not co-operate unless they can be convinced that the trial can
produce reliable data. For this reason, it is essential that the
Bourne Group can satisfy itself and hence interested observers
that the trial can be completed within a reasonable timescale
and that the results will be statistically sound (paragraph 85).
MAFF resources
(hh) We recommend
that MAFF publish its forward projections of the number of staff
it will need to complete the trial within the five year period
and how it proposes to meet this requirement (paragraph 86).
(ii) We recommend
that MAFF address the ability of its laboratories to cope with
the workload caused by the trial as a matter of urgency and publish
an analysis of the impact of the culling trial upon the existing
laboratory resources (paragraph 87).
Auditing
(jj) We recommend
that MAFF publish an account of how and when it met the requirements
of each of the three monitoring processes recommended by the Bourne
Group for the first triplet and how these processes will be applied
in the second, third and subsequent triplets (paragraph 89).
(kk) Although existing
evidence suggests that badger removal is unlikely to have adverse
ecological consequences, we support the environmental impact study
that is now underway and we recommend that it be made public as
soon as it is completed (paragraph 90).
Badger densities
(ll) The MAFF research
proposals include a project to develop new techniques of estimating
badger density. This would be helpful to the trial but we accept
that it is not essential to know exact densities of badgers,
only that numbers have been greatly reduced in the proactive areas
(paragraph 91).
The statistical power of the trial
(mm) Most of the factors
discussed have little impact on the successful running of the
trial. The one exception is illegal culling of badgers. This is
the only factor which could result in the trial failing to show
that culling is a practical way of reducing the incidence of TB,
when in fact it would be. It is therefore extremely important
to encourage the co-operation of farmers in the control areas
and also to monitor the control areas periodically to assess the
incidence of killing, as we have recommended above. The use of
mortality tags to estimate the level of illegal culling should
be further investigated. However, we believe that this is a theoretical
rather than a practical problem at this stage as we accept the
evidence that the various forms of interference and non-compliance
already referred to have not in fact been a major problem in the
culls so far carried out. Given sufficient resources from MAFF
to ensure that the fieldwork and laboratory analysis are carried
out in good time, there is no reason to believe that the trial
cannot be implemented (paragraph 93).
(nn) It is essential
that power analysis is undertaken as the trial proceeds and more
data becomes available. In this respect it is necessary for the
Bourne Group to undertake regular power analyses, which should
be verified independently by an expert, and to keep the Minister
informed of the relative strengths and weaknesses of the trial.
This is an essential component of the study and sufficient resources
should be available to ensure it is undertaken regularly, preferably
quarterly. We also recommend that the original data behind the
power analysis conducted by Dr Donnelly from the Bourne Group,
from which she concluded that the trial required ten triplets
and should take five years, be verified by an external expert
and the results of this check be made publically available. There
is no flaw in the trial as such but these weaknesses could influence
the confidence of the results and the clarity of any final policy
decision (paragraph 94).
Conclusions on trial
(oo) We do not accept
that the answers to the questions posed by the trial are already
known and we are greatly intrigued by Professor Bourne's comment
that "There may be some surprising answers at the end of
this trial". The trial should provide invaluable information
about the cost-effectiveness of culling that could not be obtained
by any other means and for this reason it is in the best interests
of all concerned, including those who care deeply about the welfare
of the badger as a species, for it to continue. We recommend that
the culling trial be implemented in full and strongly encourage
all interested parties to co-operate with it in order that reliable
results be attained in the minimum possible time and with the
minimum loss of life to badgers (paragraph 95).
Speed of implementation
(pp) We share the
view of one witness that a prolonged trial would mean data would
be more difficult to interpret, the problem for the cattle industry
horrendous and the credibility of Government to find a solution
lost with unknown consequences (paragraph 96).
(qq) We recommend
that MAFF together with the Bourne Group examine ways in which
the trial could be implemented more speedily without impugning
its scientific rigour. At very least a target should be established
for the full implementation of all ten triplets by the start of
the closed season in February 2000 and progress towards this should
be closely monitored. This is in keeping with the Bourne Group's
recommendation last July. Like them, we recognise the logistical
difficulties this involves but we consider it to be essential. Further
delays cannot be tolerated (paragraph 97).
The Bourne Group
(rr) We do not recommend
that new members be appointed to widen the representation on the
Group (paragraph 98).
(ss) The Bourne Group
will need to have the strength and authority to ensure that the
schedule for implementation is met. At the moment, it is not evident
that this is the case or that the Group have any sanctions should
the timetable slip. This problem must be addressed by the Minister
as a matter of urgency. We note that the Food Standards Agency
is to be given the sanction of publication of its advice to Ministers.
The Bourne Group is not a statutory body but full use of its ability
to publish reports recommending action by MAFF would enhance its
credibility (paragraph 99).
Communication of data and information
(tt) We recommend
that the Bourne Group prepare and release progress reports on
a quarterly basis summarising the progress of the trial and giving
qualitative indications of the preliminary results, with a strong
warning as to the reliability of conclusions based on the data
(paragraph 102).
(uu) We recommend
that, in consultation with an independent expert statistician,
the Bourne Group carefully consider what information can be made
available, when and in what form and that their decision be made
known to the public well in advance (paragraph 102).
(vv) We recommend
that once the trial as planned is completed, the results be published
as soon as possible and all data be made as widely available as
possible for analysis by scientists or other parties (paragraph
102).
(ww) We recommend
that MAFF reassess its PR strategy in relation to the implementation
of the Krebs report, with particular attention to improving public
awareness of the purpose of the culling trial (paragraph 103).
(xx) We recommend
that the communication strategy followed by MAFF in relation to
informing vets and farmers about TB incidents be reviewed (paragraph
104).
The Bern Convention
(yy) It appears that
MAFF officials made no attempt to prepare a case for the Bern
Convention hearing last December which went ahead without even
seeing the Krebs report. Mr Rooker found the Standing Committee's
behaviour "astonishing". We find it astonishing that
MAFF placed their Ministers in such an embarrassing position.
We understand that the Standing Committee's finding has no legal
implications. However, we await with interest the outcome of the
Government's defence of its policy (paragraph 105).
Farm husbandry
(zz) The withdrawal
of its leaflet on farm husbandry practices in connection with
badgers and bovine TB demonstrates MAFF's awareness of its shortcomings,
but to do nothing to determine what better advice should be offered
to farmers is unacceptable (paragraph 107).
(aaa) While we accept
that farmers cannot be expected to implement expensive management
changes of unproven benefit, we are not convinced that the industry
as a whole has done enough in the past to address the multifactoral
nature of the bovine TB problem and the possible role played by
husbandry practices in finding a solution (paragraph 108).
(bbb) We recommend
that, in consultation with the farming industry, MAFF and the
Bourne Group simplify TB99. The new questionnaire should then
be subject to a rigorous pilot exercise on farms and assessed
for ease of administrative handling before approval is given to
a final version (paragraph 110).
(ccc) We recommend
that MAFF appoint a small panel of experts to undertake a fast
track review of the available scientific evidence on husbandry,
taking evidence from the industry and the veterinary profession
as appropriate. This expert panel should report to MAFF within
three months with recommendations as to whether husbandry experiments
are justified at this stage and if so which experiments would
be most promising in terms of their likelihood of controlling
disease outbreaks (paragraph 111).
(ddd) We commend to
the Ministry the proposal of the Soil Association for a comparison
of the incidence of bovine TB on organic farms with that on conventional
farms (paragraph 112).
(eee) We recommend
that the Government finance the cost of accelerated research investigating
the most promising husbandry practices likely to assist in the
control of bovine tuberculosis (paragraph 113).
Compensation
(fff) We recognise
that within current spending limits set for the Ministry in the
Comprehensive Spending Review, national levels of compensation
cannot be raised to reflect consequential loss. However, we also
note that the Minister left open the possibility that the situation
may be reconsidered (paragraph 114).
Short term action by Government
(ggg) We recommend
that, at present, no additional action should be taken outside
the trial area. Our decision is based on the following considerations.
First, the current financial constraints placed upon MAFF make
it highly likely that any additional action would divert valuable
resources of finance and personnel away from the existing trial,
leading to further delays in its actioning and an inevitable postponement
in the publication of results. Secondly, there is as yet no categorical
evidence to support the proposition that culling has any effect
on the rate of herd breakdowns. However, we consider that aspects
of the NFU's proposals offer a positive and constructive way forward
for tuberculous zones outside the trial area, and that a policy
based on these proposals could assist in rebuilding the confidence
of beef and dairy producers in these zones. We therefore urge
the Government to give serious consideration to the NFU's case,
with a view to introducing a policy for the control of localised
bovine tuberculosis outbreaks in areas outside the trial within
the next twelve months (paragraph 120).
Cattle passports
(hhh) We recommend
that the Minister reconsider his decision on including the date
of the last TB test in cattle passports (paragraph 122).
Future policy options
(iii) We recommend
that the Government specify the criteria on which its sustainable
policy on the control of bovine TB will be judged and publish
detailed objectives for the policy in the short and the long-term.
We also recommend that MAFF undertake a statistical risk assessment
of the possible policy procedures, in conjunction with the Bourne
Group and representatives of all interested parties (paragraph
125).
383 Qq 681, 714. Back
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