This article discusses the differences and similarities in dairy farming in the Netherlands, India, Ethiopia, and Uganda and its effect on public and environmental health. It emphasizes the strategies that have been developed during a project to reduce the use of antibiotics and other chemicals in dairy farming. The impact of antibiotic use on human health through antibiotic use, the growing problem of antibiotic resistance, and the lack of adequate control systems are discussed as well as the effects of dairy farming on the environment »