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COVERED? Do you have both viruses & bacteria Titanium 5 + PH-M ® Single-vaccine solution protects against BRD-causing viruses & bacteria at every stage of production M. haemolytica • P. multocida BVD (1 & 2) • IBR • PI3 • BRSV Bacteria Viruses Titanium 5 + PH-M delivers a broad immune response against the bacteria and viruses most associated with bovine respiratory disease (BRD) in a single vaccine for cattle as young as 2 months of age.1-4 Managing the BRD complex — enhance immunity; reduce exposure to disease The BRD Complex The many factors affecting a calf’s ability to contract BRD can be grouped into three categories that interact with one another: the infectious pathogens, the environment and the status of the calf. While some of these factors are within our control, many are not. That’s why your veterinarian uses best management practices and preventive measures, including vaccinations, to enhance the animal’s immune system. Disease prevention can best be described as a two-pronged approach: • Increase the animal’s ability to overcome disease challenges through vaccination, which builds a stronger immune system • Lower the level of exposure to disease through best management practices — this is especially critical during stressful events (e.g., weaning, transporting, commingling) Calf status Environment • climate • air • management • immune system • nutrition • stress Pathogen • bacteria • viruses • toxins Viruses and bacteria — a powerful one-two punch on the immune system While respiratory viruses can cause BRD on their own, they also can compromise the immune system that normally protects cattle against bacteria, allowing bacteria to attack their host and cause severe cases of BRD. • When cattle are exposed to respiratory viruses — such as bovine viral diarrhea (BVD), parainfluenza3 (PI3), infectious bovine rhinotracheitis (IBR) and bovine respiratory syncytial virus (BRSV) — their immune system can be weakened • Once the immune system is compromised, bacteria including Mannheimia haemolytica and Pasteurella multocida can more easily go deeper into the respiratory tract where they cause disease • When bacterial pathogens reach the lungs, they are a major cause of severe BRD, causing increased morbidity, mortality, and labor and treatment costs BRD is still your No. 1 profit robber • BRD accounts for 75 percent of feedlot morbidity, and 50 to 75 percent of mortality, costing the industry an estimated $800 to $900 million annually5-8 • BRD-related factors also contribute to a reduction in average daily gain by as much as 0.3 to 0.5 lbs9,10 • And what about subclinical cases? One study showed that 68 percent of untreated calves had pulmonary lesions at slaughter, demonstrating that a significant number of animals never diagnosed with BRD do, in fact, suffer from some degree of respiratory disease11 Helping your cattle overcome the one-two punch of viruses and bacteria requires a vaccine solution that provides a broad immune response against the bacteria and viruses most associated with BRD. Do you have viruses & bacteria covered? Titanium 5 + PH-M Titanium 5 + PH-M — the convenience and flexibility of a single vaccine that protects against BRD-causing viruses and bacteria •Protects against the respiratory viruses and bacteria most associated with BRD Protects against the two bacteria most associated with BRD:1 • Mannheimia haemolytica — the bacterium most frequently isolated from lungs of cattle with BRD • Pasteurella multocida — an important cause of bacterial pneumonia •Offers the convenience of a single vaccine at every stage of production Also protects against five important virus strains:2,3 • BVD, types 1 and 2 • PI3 • IBR • BRSV Approved for use in cattle 2 months of age and older, Titanium 5 + PH-M is flexible enough to be incorporated into virtually any vaccine protocol. Producers should work with their veterinarian to determine the best way to incorporate Titanium 5 + PH-M. As a general guide, it fits well in branding and/or preconditioning vaccine protocols, as well as in arrival programs for stocker and feedyard operations. •Contains a researchproven M. haemolytica leukotoxoid and other antigens to stimulate an immune response to BRD-causing viruses and bacteria •Includes a low-reactive, water-soluble adjuvant, and is proven safe for cattle as young as 2 months of age •Its low-volume, subcutaneous administration meets Beef Quality Assurance (BQA) guidelines SM Titanium 5 + PH-M — proven effective and safe at every stage of production Evaluated under U.S. Department of Agriculture requirements, Titanium 5 + PH-M was proven safe and effective for cattle at all stages of production, with no interference between the viral and bacterial components of the vaccine. Research comparing vaccinated calves to controls after infection with M. haemolytica showed Titanium 5 + PH-M:1 • Reduced lung lesions* by 82 percent (P < 0.01) • Reduced clinical signs of infection significantly (P < 0.01) Learn more about Titanium 5 + PH-M — the new single-vaccine solution that’s approved for cattle as young as 2 months of age. *Mitigated fraction: the effect of a vaccine in reducing severity of disease. Figure 1. M. Haemolytica Challenge Study Survival Rate1 100% Survival Rate 80% Elanco.us Group 1: PH-M Group 2: Titanium 5 + PH-M 60% Control 40% 20% 0% Day 1 Day 2 Day 3 Day 4 Studies also showed Titanium 5 + PH-M: • Provided the same viral protection (BVD, types 1 and 2, IBR, PI3, BRSV) as Titanium 52,3 • Protected against severe clinical signs of BRD1-3 • Resulted in no adverse events beyond minimal injection-site swelling4 Figure 2. Titanium 5 + PH-M Safety Study Injection-Site Evaluation4 Injection-site swelling measurements <1.5 cm 0 1.5 - 5 cm >5 cm Percent of animals 80% 60% 40% 20% 0% Day 21 Day 25-27 Milliken, G. A. 2013. Mannheimia haemolytica efficacy studies demonstrating the absence of excessive interference of Titanium products with the Mannheimia haemolytica-Pasteurella multocida bacterin-toxoid. 2 Demonstration of the compatibility of components between APHIS product codes 1181.20 (Establishment 213) and G935.04 (Establishment 315) APHIS product code 45B9.20. Study No. 2010-01 Rev. 1. 3 Efficacy study for BRSV fraction to demonstrate compatibility of the BRSV component in APHIS product code: 45B9.20 (unlicensed). Study No. 2011-05 Rev. 1. 4 Porter, M. 2011. Field safety evaluation of bovine rhinotracheitis-virus diarrheaparainfluenza3-respiratory syncytial virus vaccine, modified live virus, APHIS product code 1181.20 (establishment 213) in combination with Mannheimia haemolytica-Pasteurella multocida bacterin-toxoid, APHIS product code: G935.04 (establishment 315). Protocol No. 2011-01, Rev. 02. 5 Edwards, A. J. 1996. Respiratory Diseases of Feedlot Cattle in the Central USA. Bovine Practitioner. 30:5-7. 6 Galyean, M. L., L. J. Perino and G. C. Duff. 1999. Interaction of Cattle Health/Immunity and Nutrition. J. Anim. Sci. 77:1120-1134. 7 Loneragan, G. H., D. A. Dargatz, P. S. Morley, and M. A. Smith. 2001. Trends in Mortality Ratios Among Cattle in US Feedlots. J. Am. Vet. Med. Assoc. 219:1122-1127. 8 Chirase, N. K. and L. W. Greene. 2001. Dietary zinc and manganese sources administered from the fetal stage onwards affect immune response of transit stressed and virus infected offspring steer calves. Animal Feed Science and Technology. 93:217-228. 9 Smith, R. A. 1998. Impact of Disease on Feedlot Performance: A Review. J. Anim. Sci. 76:272–274. 10 Bateman K. G., S. W. Martin, P. E. Shewen and P. I. Menzies. 1990. An evaluation of antimicrobial therapy for undifferentiated bovine respiratory disease. Can. Vet. J. 31:689-696. 11 Wittum T. E., N. E. Woollen, L. J. Perino and E. T. Littledike. 1996. Relationships among treatment for respiratory tract disease, pulmonary lesions evident at slaughter, and rate of weight gain in feedlot cattle. J. Am. Vet. Med. Assoc. Aug 15;209(4):814-8. 1 100% Day 4-6 The label contains complete use information, including cautions and warnings. Always read, understand and follow the label and use directions. Do not vaccinate within 21 days of slaughter. Day 42 Calves vaccinated on Day 1 and revaccinated on Day 21. The Titanium line of vaccines is a brand you’ve come to trust — the brand that brought you the first type 2 BVD modified-live virus (MLV) vaccine. Elanco, Titanium® and the diagonal bar are trademarks owned or licensed by Eli Lilly and Company, its subsidiaries or affiliates. © 2014 Elanco Animal Health. VAC 31892-2 USBBUTIT00014