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I must admit I subscribe to the keeping the tribes healthy and thriving by minimum chemical intervention. Antibiotics are great for somethings. They've saved a lot of lives, chickens lives as well, if that is important to you.I agree on the usefulness of vets if a chicken is in trouble in many cases too.
Before joining BYC actively I was on a Dutch chicken forum. I learnt a lot from experts on that forum about keeping/ dealing with chickens. But I didn't agree on spending much money on vets/antibiotics for chickens with a respiratory or an internal problem.
It seemed the vets often subscribed antibiotics without knowing the cause of the health problem. Sometimes the chickens healed, sometimes they didn’t ’. And the ones that healed after being in a bad state often died a month later. I believe antibiotics kill the good bacteria too, and make the chickens vulnarable for all kind of diseases after a while.
My story. The year after I started with chickens I had sneezing chicks. Most people on this forum told me to go to a vet for antibiotics. One person said, don’t if you want a strong flock. I followed the last advice. All chicks survived. After a few weeks they got better. One chick needed 6 weeks to recover. these chicks never got sick. And I still have 2 of them today. 7 years old.
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Last year these oldies (black Dutch ) hatched a few eggs (bantam RIR) for maintenance.
As you suggest, the casual dispensing of antibiotics for often unknown causes is appauling.
Very roughly it's close the flock.
Permit breeding but manage it.
Supply clean secure accomodation.
Not everyone is going to agree with me but the next on the list is, Free Range. It makes such a difference to their physical and mental health.
Treat the problems I can identify if the prognosis is good and I have the right chemicals and equipment.
After that it's down to them.
This doesn't mean I neglect them as most should be able to gather from my posts.