Evidence map›Paper›PMID 42087998›Full record

ArticleFrontiers in veterinary science2026

Producer perceptions on the impacts of the withdrawal of zinc oxide on the health and welfare of weaned pigs.

Abel B Ekiri, Sam Beechener, Ilias Kyriazakis, Nick Wheelhouse, Andrew G Bease, Nicky Craig, Sadie Douglas, Sophie Prentice, Samuel A M Connelly, Manal AbuOun and 4 more

Abstract read
In one paragraph

Article in Frontiers in veterinary science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Abel B Ekiri *Department of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom.
Sam Beechener *Scotland's Rural College (SRUC), Edinburgh, United Kingdom.
Ilias KyriazakisInstitute for Global Food Security, Queen's University, Belfast, United Kingdom.
Nick WheelhouseSchool of Applied Sciences, Edinburgh Napier University, Edinburgh, United Kingdom.
Andrew G BeaseThe Roslin Institute, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, University of Edinburgh, Edinburgh, United Kingdom.
Nicky CraigThe Roslin Institute, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, University of Edinburgh, Edinburgh, United Kingdom.
Sadie DouglasAB Neo/AB Agri Limited, Peterborough, United Kingdom.
Sophie PrenticeAB Neo/AB Agri Limited, Peterborough, United Kingdom.
Samuel A M ConnellyBacteriology Department, Animal and Plant Health Agency, Addlestone, United Kingdom.
Manal AbuOunBacteriology Department, Animal and Plant Health Agency, Addlestone, United Kingdom.
Muna F AnjumBacteriology Department, Animal and Plant Health Agency, Addlestone, United Kingdom.
Mark P StevensThe Roslin Institute, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, University of Edinburgh, Edinburgh, United Kingdom.
Roberto M La RagioneDepartment of Comparative Biomedical Sciences, School of Veterinary Medicine, University of Surrey, Guildford, United Kingdom.
Deborah V HoyleThe Roslin Institute, Royal (Dick) School of Veterinary Studies, Easter Bush Campus, University of Edinburgh, Edinburgh, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Zinc oxide (ZnO) added to pig feed at prophylactic levels has been used to reduce post-weaning diarrhoea (PWD) and enhance performance. In response to concerns about antimicrobial resistance (AMR) and environmental contamination, supplementation with ZnO was prohibited in the European Union from June 2022, and in the United Kingdom from June 2024. Objective and method: We investigated the impacts of the withdrawal of ZnO on the health and welfare of weaned pigs as perceived by pig producers, and the management and husbandry factors associated with PWD in the United Kingdom. A mixed methods approach combined qualitative interviews with producers preparing to withdraw ZnO from their herds and a quantitative survey open to any producer. Findings were integrated using the transtheoretical model (TTM) of change as a guiding framework. Results: Eight qualitative interviews and 14 quantitative surveys with producers were completed. Responses to the qualitative interviews were all from indoor, breeder-finisher herds while the quantitative survey included indoor and outdoor production systems and a mix of breeder-finisher herds and nursery units. In the qualitative interviews, producers described ZnO as affordable and effective. Concerns were expressed that its withdrawal risked triggering a sectoral increase in antimicrobial usage, jeopardising reductions achieved to date. The quantitative survey revealed that almost all respondents (12/14, 85%) had experienced PWD in their piglets in the last year. At the time of responding, 57% of respondents (8/14) reported weaner pigs were not fed a diet containing ZnO during the post-weaning period whereas 36% (5/14) were still feeding a diet containing ZnO. Following the withdrawal of ZnO in June 2024, most respondents (8/14, 57%) anticipated supplementing weaner diets with an alternative to ZnO before and after weaning. Conclusion: While recognising the limitations of a small sample size, the study contributes to our understanding of producer perceptions as they prepared for the withdrawal of ZnO. Producer concerns that PWD would be less effectively controlled in their herds and risked triggering an increase in antimicrobial usage were highlighted. Further work is required to better understand the type and effectiveness of alternatives to ZnO on pig health and welfare.

Indexed as

antimicrobial resistancehealthmixed methodspigpost-weaning diarrhoeawelfarezinc oxide

Identifiers

PMID42087998
PMCPMC13136187

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.