This paper considers the economic consequences and the welfare impact of foot disorders in dairy cattle and the association between them, taking into account clinical and subclinical foot disorders. In dairy farming with cubicle housing and concrete floors, foot disorders are a major welfare problem with serious economic consequences. On average, foot disorders cost €53 per cow per year, of which indirect cost factors are the main cause. Subclinical foot disorders, which are the foot disorders not recognised by dairy farmers, account for 50% of the total welfare impact and 32% of the total costs. The consequences of foot disorders can be difficult to observe and more insight into these consequences is helpful in stimulating actions to improve dairy cow foot health. Digital dermatitis (DD), an infectious foot disorder, is the most serious foot disorder from both an economic and welfare perspective. The correlation between economics and animal welfare impact suggests that reducing the problem of foot disorders from an economic perspective will positively influence the welfare of dairy cows. Insight into economic and welfare consequences of the different foot disorders, including the association between them, can help make dairy farmers more aware and help with decision-making regarding measures to improve dairy cow foot health.

Foot disorders are the main cause of dairy cow lameness and are considered to have a major impact on the welfare of dairy cattle. This study adopts a modeling approach, using a dynamic stochastic model, to provide more insight into the welfare impact of different types of foot disorders, both clinical and subclinical. The impact of specific foot disorders on welfare was assessed by simulating the incidence and duration of foot disorders and the pain associated with them. Pain assessment was based on locomotion scores, with underlying knowledge obtained from scientific literature and experts. The results demonstrated the seriousness of the welfare impact of foot disorders. The negative welfare impact was measured on a scale from 0 to 60, where the maximum outcome represents a cow having very severe pain during the whole year. On average, each cow achieves a welfare impact score of 12, which is 20% of the maximum welfare impact score. This welfare score equals having severe pain for a period of 3 months, indicating a serious impact on welfare. On average, digital dermatitis impacts most on welfare, which is caused by a high incidence of the painful clinical stage, followed by sole hemorrhages (SoH) and interdigital dermatitis and heel horn erosion (IDHE). The combination of a high incidence and long duration of SoH and IDHE causes this relatively high welfare impact of foot disorders that occur mostly subclinically. On average, over 1 year, 46% of the welfare impact due to foot disorders is caused by clinical foot disorders. The fact that subclinical foot disorders contribute more or less equally to the effects on welfare as clinical ones, indicates that farmers may readily underestimate the welfare impact by a factor two. Modeling welfare impact at cow level, individual cases of foot disorders, stresses the importance of pain intensity, indicating the importance of clinical foot disorders. This study demonstrated the serious welfare impact of foot disorders in dairy cattle and pointed out the considerable impact of subclinical foot disorders. Furthermore, the approach of welfare assessment, for example herd v. cow level, influenced the ranking of foot disorders for their impact on animal welfare. Potentially, this leads to different prioritization of specific solution strategies for dairy farmers, for example, focusing on cow comfort, hygiene or preventive medical treatments, foot trimming and/or health monitoring. The findings in this study support in raising awareness about this welfare issue.