Equipment
Milk samples from each quarter are collected in a clean CMT Paddle. The CMT paddle has four shallow cups marked A, B, C, and D to help identify the individual quarter from which the milk was obtained. The CMT solution should be reconstituted according to package instructions.
Procedure:
- After discarding the first three to four squirts of foremilk, Take about 2 cc of milk from each quarter. This is the amount of milk that would be left in the cups if the CMT Paddle were held nearly vertical
- Add an equal amount of CMT solution to each cup in the paddle.
- Rotate the CMT Paddle in a circular motion to thoroughly mix the contents. Do not mix more than 10 seconds.
- Read the test quickly. Visible reaction disintegrates after about 20 seconds. The reaction is scored visually. The more gel formation, the higher the score.


Interpretation:
| CMT Score | Observation | Somatic cell level | Interpretation |
|---|---|---|---|
| 1 | No thickening of the mixture (Negative) | < 200,000 cells/ml | Healthy quarters |
| 2 | Slight thickening of the mixture. Trace reaction seems to disappear with continued rotation of the paddle ( Trace) | 150,000 to 500,000 cells/ml | Suspicious |
| 3 | Distinct thickening of the mixture, but no tendency to form a gel. If CMT paddle is rotated more than 20 seconds, thickening may disappear | 400,000 to 1,500,000 cells/ml | Mastitis Positive |
| 4 | Immediate thickening of the mixture, with a slight gel formation. As mixture is swirled, it moves toward the center of the cup, exposing the bottom of the outer edge. When motion stops, mixture levels out and covers bottom of the cup | 800,000 to 5,000,000 cells/ml | Mastitis Positive |
| 5 | Gel is formed and surface of the mixture becomes elevated (like a fried egg). Central peak remains projected even after the CMT paddle rotation is stopped | >5,000,000 cells/ ml | Mastitis Positive |
Youtube link: CMT: A simple and useful tool for Subclinical mastitis (https://www.youtube.com/watch?v=YRbH_E7JtTU)
Reference:
- Council NM. 2017. Laboratory handbook on bovine mastitis. NMC Inc., Madison.
Consultancy services
Udder Health Bangladesh team is a multidisciplinary team comprising several specialist services in dairy medicine, dairy farming, and nutrition. Specialists are as follows:
Bovine medicine and reproduction specialist:
- Dr Farhad Hossian, Managing Director, Centre for Veterinary Care, Research and Management & Consultant, Nahar Dairy

- Prof Dr Md Mizanur Rahman, Dept of Medicine and Surgery, CVASU
- Dr Delower Hossain, Assistant Prof. in Medicine, Dept of Medicine and Public Health, SAU
Dairy farming and nutrition specialist:
- Dr Md Saiful Bari, Associate Professor, Dept of Dairy and Poultry Science, CVASU
Epidemiology specialist:
- Prof Dr Md Ahasanul Hoque, Epidemiology, Dept of Medicine and Surgery, CVASU
- Dr. Momena Khatun, Associate Prof and Head, Dept of Surgery and Obstetrics, BAU
- Dr. Shuvo Singha (DVM, MSc in Epidemiology, PhD), Research Fellow, Dept of Medicine and Surgery, CVASU
Monitoring and evaluation
We are currently routinely analyzing bulk milk from interested commercial dairy farms once a month. We are collaborating in such a way that at around 5th day of the month, the farmers submit the samples to the lab in an ice box or to the sample collection team.
What are the routine tests we are currently offering
- Bulk milk somatic cell count using DeLaval cell counter
- Milk composition test using (Milk Analyzer Lactoscan Farm Eco Milkotronic)
- Total bacterial count using pour plate technique (ISO 7218:2007/A1:2013)
We are currently monitoring and evaluating 16 commercial contacted dairy farms continuously in Chattogram. Farmers receive three different certificates depending on the successful completion of the tests.
List of interested participants for the program: “Dairy Udder Health Enhancement Programme”
| Srl.
No |
Name of the owner | Contacts | Location | Contact |
| 1. | Md. Iqbal Hossain | A K Agro and Dairy Farm | Tintohari, Manikchari | +880 1612-737973 |
| 2. | Dr. Muhammed Ashrafuzzaman | Banoful Dairy Farm | Anowara | +880 1819-622105 |
| 3. | Md Abul Hasan Chowdhury Sagar | Chowdhury Agro Farms | Silimpur, Fouzdarhat, Chattogram | +880 1717-277777 |
| 4. | Abu Bakkar Siddique Faisal | Madina Dairy Farm, Noakhali | Chuto Rampur, Kabir Haat, Noakhali | +880 1816-762932 |
| 5. | Gab Agro | GAB Agro, Chokoria | হাশিমপুর, চন্দনাইশ, চট্টগ্রাম | +880 1735-774463 |
| 6. | Uttam Barua | Mamata Dairy Farm Training & Demonstration Center | Charkanai, Patiya | +880 1843-191500
+880 1775-219130 |
| 7. | Md. Giasuddin | R M Dairy Farm | Shantir hat, Patya | +880 1778-006798 |
| 8. | হাফেজ মোহাম্মদ ফোরকান | Bismillah Dairy Farm | Patya | +880 1822-171446
+880 1878-664639 |
| 9. | Md. Ridoan | Reduan Dairy Farm | Mahira, Kusumpura, Shantir hat, Patya | +880 1840-335115 |
| 10. | Md. Rasel | RS Agro | Patya | +880 1818-289284 |
| 11. | Md. Ibrahim-Babul | Mesarrs Junaid Dairy Farm | Patya | +880 1890-928693 |
| 12. | মোঃ আমিন | Azmir Dairy Farm | Patya | +880 1819-360588 |
| 13. | MD. Kapil Uddin | Ms Shah Amanat Dairy farm | Patya | +880 1815-923919,
+880 1690-111978 |
| 14. | Prof. Dr. Mohammed
Ibrahim Khan |
Khan Dairy Farm | 95 Station Road, New Market | +880 1713-018506 |
| 15. | Malik Mohammed Omar | Homeland Dairy | Khondokarpara,
Wazedia, Oxyzen |
+880 1619-323325
+880 1727-113322 |
| 16. | Maolana Omar Faruk | Zarif Dairy Farm | Naju Miah Haat, Hathazari | +880 1886-337751 |
Training and Workshop
1. 1st International Workshop on Development of Udder Health Control Program in Dairy Cows in Bangladesh: Udder Health Bangladesh organized an International workshop on Bovine mastitis to control mastitis and develop a control program in Bangladesh under the project “Development of Udder Health Control Program in Dairy Cows in Bangladesh” from may 31 t- June 1, 2016 at Chittagong Veterinary and Animal Sciences University (CVASU) where dairy practitioners at government and private facilities, dairy farmers from Chittagong district, researchers and academicians from veterinary schools in Bangladesh, experts from India, Srilanka, Bhutan, Myanmar, Malaysia, Kenya, Netherlands, Sweden and France were attended. Participants were got chance to share their problems, opportunities and ways to improve the situation through identifying the gaps and consultation with international and national experts.



2. Workshop on Bovine mastitis in Chittagong: As a continuation of ongoing project “Development of Udder Health Control Program in Dairy Cows in Bangladesh” Udder Health Bangladesh organized a training program on Bovine mastitis among dairy farmers, few dairy practitioners at 13th April 2018 in CVASU) to inform the major findings from sub-clinical mastitis study and to engage selective dairy farmers in clinical mastitis study.








