Mastitis is the most costly disease in dairy farming and causes significant pain and suffering in millions of cows annually.
Mastitis represents one of the largest sources of welfare harm in dairy farming by volume. When 25-40% of cows experience mastitis in a lactation, and when subclinical cases often go undetected and untreated, the aggregate suffering is enormous. Pain is significant in clinical cases and may be chronic in subclinical ones. Treatment is often delayed or inadequate because early signs are missed. A welfare-centered approach to mastitis treats it as a welfare emergency requiring prompt diagnosis and effective pain management, not just antibiotic treatment. Prevention through hygiene, equipment maintenance, and cow comfort is more welfare-positive than reactive treatment of established disease. Monitoring somatic cell count provides a herd-level welfare indicator that should trigger investigation when elevated.