Pfizer Animal Health is reminding horse owners of the importance of treating encysted small redworm larvae this autumn.
According to the company, these hidden, dormant parasites can account for up to 90% of the redworm burden in a horse (1). Furthermore, encysted small redworm larvae won't show up in a faecal egg count (FEC). Even if a horse has shown a negative or low count it could still be harbouring several million harmful larvae, hidden within the gut wall (2)
Encysted small redworm are a potential time bomb, with the ability to survive inside a horse for up to two years. They usually 'wake-up' in the late winter or early spring, developing and emerging from the gut wall all at the same time. Such a sudden mass emergence can cause a disease syndrome known as 'larval cyathostominosis', causing diarrhoea and colic with up to a 50% mortality rate (2). Treating encysted small redworm successfully in the late autumn or early winter is vitally important in order to prevent this serious risk.
Pfizer says that Moxidectin, the key ingredient of EQUEST, is recognised as the only single dose treatment for encysted small redworm. It has been shown to kill the larvae in-situ, without resulting in severe inflammation of the gut wall that other multi-dose treatments may cause (3). In addition, Moxidectin is licensed for persistent activity against small redworm over two weeks, killing larvae ingested as the horse grazes for up to two weeks after treatment.
Ben Gaskell, Pfizer's veterinary advisor said: "A responsible and sustainable worming programme involves good pasture management, regular diagnostic tests and targeted worming, carefully planned using specialist advice. However, it is also vital to remember the danger of encysted small redworm. Even if a horse's FEC is clear, there could still be a significant encysted small redworm burden that must be treated properly every year in late autumn / early winter."
1) Bairden K. et al (2001) Veterinary Record 148, 138-141 2) Dowdall S.M.J. et al (2002) Veterinary Parasitology 106, 225‑242 3) Steinbach T. et al (2006) Veterinary Parasitology 139, 115‑131
Charlotte Pace, a veterinary cardiology nurse from the Royal Veterinary College, has become the first nurse in the UK to earn a place on the Academy of Internal Medicine for Veterinary Technicians (AIMVT) in the cardiology department.
AIMVT is a group of veterinary technicians working specifically in Internal Medicine, who come from universities, specialty practices, referral practices, general practices, and research facilities across the world.
Each year the organisation receives hundreds of applications from veterinary technicians eager to become a part of the academy in its five department areas, Large Animal Medicine; Small Animal Medicine; Cardiology; Oncology; and, Neurology.
Charlotte Pace, a veterinary nurse for nine years, earned her chance to secure a place on the academy by completing 6,000 hours of work and 75 recorded case studies, which are both requirements during the AIMVT application process.
Charlotte was then one of 22 selected to travel to Anaheim in California, USA, where she took two exams, a three and a half exam in cardiology and a one and a half hour general medical exam.
The application process for a place on AIMVT was tough and selection is strict, making it a remarkable achievement for Charlotte, who's ecstatic that she has been awarded with a place.
Charlotte said: "It's a great moment for me personally and the Royal Veterinary College. The facilities and working environment, which included the teaching, experience and staff helped me during the application process and were factors in me being awarded a place on the AIMVT.
"I lost my husband four years ago due to complicated cardiac disease, which led to my initial interest in the subject and why I became a cardiology veterinary nurse in the first place. The application process gave me a new sense of purpose and focus, and is recognition for the long hours I've put in and my desire to progress further in the field of cardiology."
Charlotte set up a charity in her husband's name called the Chris Pace Trust. The charity was created following a holiday in 2004, where Chris helped a local school in Namibia get their computer fixed and sent them supplies to keep it working when back in the UK. In Chris' memory, Charlotte and her family decided to help the school further. £16,000 has so far been raised, with the Namibian government matching whatever the charity raises. Further details can be found at http://thechrispacetrust.org/.
The British Veterinary Association, some of the UK's largest animal charities, law enforcement agencies and unions have today called on the leaders of the main political parties to work together to introduce improved and updated legislation to protect dog welfare and public safety.
The 20 groups have come together to demand action against irresponsible dog owners by the Government and the provision of necessary resources for those tasked with policing dog control laws.
It comes ahead of the summary of responses from Defra's consultation on dog legislation which is expected this autumn. The consultation received more than 4,000 responses by the time it closed in June, indicating the scale of interest in the subject.
The joint statement will be sent to Prime Minister David Cameron MP, Deputy Prime Minister Nick Clegg MP and acting leader of the opposition Harriet Harman MP.
The statement says: "We believe that irresponsible dog ownership, whether it is allowing dogs to stray, be dangerously out of control or indiscriminately breeding them, causes significant problems for the safety and welfare of both humans and animals. Current legislation is proving inadequate in many cases to ensure sufficient protection.
"We believe that both the provision of sufficient resources at a local level for local authorities and the police, and updated and consolidated legislation that has a genuine preventative effect, are needed to address this problem.
"We call on the coalition Government to act and bring forward legislation that addresses these areas effectively."
BVA President Professor Bill Reilly added: "The Government must not ignore this overwhelming call for action to protect dog welfare and public safety.
"The problems caused by dangerous dogs will never be solved until dog owners appreciate that they are responsible for the actions of their animals. The BVA believes very strongly in the principle of deed not breed - targeting dogs for their actions, not what they look like - and new legislation must tackle the actions of irresponsible pet owners that can cause dogs to become aggressive. Current legislation is not tackling irresponsible owners who increasingly put the public and other animals at risk.
"Compulsory microchipping - and an effective and workable registration system - should be put in place for all dogs, not only to reunite stray dogs with their owners, but also to help prevent puppy farming and to promote responsible ownership.
"I cannot stress too strongly that responsible ownership is the key to resolving the issue of dangerous dogs."
Dechra Veterinary Products has sponsored a specialist Feline Nurse at the University of Edinburgh's Royal (Dick) School of Veterinary Studies.
Sara-Ann Dickson, Dechra Feline Nurse, works in the Hospital for Small Animals at the School and is dedicated to promoting cat friendly practices. Cats are referred to the clinic from other veterinary practices for specialist treatment. The clinic also provides vet students and nurses with specialist training on how to handle and treat cats with a range of ailments.
Sara-Ann qualified from Edinburgh's Napier University and completed her practical training at the Royal (Dick) School of Veterinary Studies. Sara-Ann also spent eighteen months in Australia in a busy veterinary referral centre before returning to the School in 2008. In her role as Dechra Feline Nurse, Sara-Ann cares for and treats sick cats, provides training to final year students and presents lectures on a range of topics to breeders, cat owners, veterinary staff and veterinary students.
Sara-Ann said: "I absolutely love my job and am very grateful to Dechra for its support. One of the best things is being able to identify what is wrong with a sick cat, making it better and extending its life. It's amazing. And of course a happy cat means happy owners. I have learned such a lot here and in Australia. Now I just want to use my skills and knowledge in making our feline friends as happy as possible when they stay here. I hope I can fulfil all expectations and help to create a 'cat-tastic' place!"
Matthew Olsen, Product Manager, Dechra Veterinary Products, said: "Dechra is committed to the support of veterinary staff and this is just one of many projects we are involved in. The enthusiasm and commitment of Sara-Ann and the team at the University of Edinburgh is fantastic and we are proud to be involved with the Royal (Dick) School of Veterinary Studies. The level of care for its patients and the standard of training for its students is outstanding."
Bayer has unveiled a major TV marketing campaign to promote Drontal.
An advertising campaign featuring the Drontal Schnauzer will run for two months. In addition, the company is sponsoring the TV series The Dog Whisperer, which is due to be aired from October to December this year.
The company is also launching a competition to enable owners to show off their pets and win a number of prizes. They include appearing in a double page spread in Your Dog and Your Cat magazines, holidays at pet-friendly hotels, digital cameras, shopping vouchers, pet accessories and much, much more! Pet owners will be able to submit photos, videos and stories to http://www.mypetsuperstar.com/ which has four competition categories:
Dan White, Drontal product manager said: "My Pet Superstar aims to celebrate the unique traits and talents that make us love and take pride in our pets. Visitors to the website will be able to vote for their favourite entries and even post these to their Facebook and Twitter accounts. With four very different categories, this competition will be wide open to all dog and cat owners. Our motto is that healthy pets are happy pets, and we will use the competition to remind dog and cat owners about the benefits of regular worming.
Practices can get involved by displaying waiting room materials including A4 static window posters, shelf wobblers and mobile hanging devices by calling 0845 257 4798.
The Royal Veterinary College is embarking on an educational tour to provide advice to school children on studying and working in the veterinary sector.
The tour will visit secondary schools in the following towns:
The RVC says the event is designed to demonstrate the diversity of the profession, looking at both clinical and non-clinical careers within it. RVC staff, students and recent graduates will be on hand to answer questions for all of those interested in becoming a vet, veterinary nurse or bio-veterinary scientist.
Visitors will have the chance to carry out practical veterinary and scientific skills and discover diagnosis techniques using the RVC's state-of-the-art Haptic laptop, which contains the Core Skills Trainer; a collection of computer games that use touch technology to teach key manual skills needed to become a veterinary professional.
The event will also allow attendees to compete against each other to test their aptitude for core veterinary skills.
The sessions will be open to secondary school students, teachers, parents and careers advisers. It will present information on the wide-ranging courses offered by the RVC and the differing career choices available in the sector.
Booking is essential in order to attend and can be completed at www.rvc.ac.uk/rvcontour. For further information please call 020 7468 1257 or email schools@rvc.ac.uk.
Veterinary practices are signing up fast for the opportunity to take part in Pet Smile Month in September 2010, according to organisers.
Participating practices carry out free dental checks in September as part of a nationwide campaign to promote dental health in pets.
Pet Smile Month founder, veterinary surgeon Bob Partridge said: 'Pet Smile Month is all about relieving pain and suffering in pets and educating owners on the importance of dental care for pets. It also highlights the caring nature of the profession and provides practices with an opportunity to promote the range of services it offers.'
Registered practices will receive information leaflets to give to clients, and an educational poster - illustrating the problems of dental disease and encouraging clients to seek dental care.
For Pet Smile Month 2010, as well as the Pet Smile Art Competition (with prizes for young clients), Kruuse has offered the iM3 42-12 dental scaler as a prize for the best waiting room Pet Smile Month display, together with runner-up prizes.
Pet Smile Month could not exist without the long-standing commitment of Petosan, Genitrix, CEVA, Kruuse, NVS, Centaur, Dunlops, Veterinary Surgeons' Supply Company and IGP UK Ltd.
To find a participating local veterinary practice, owners can use the 'Find-a-PSM-Vet' button at http://www.petsmile.org/. There is also a dedicated vet area on the website.
Hill's Pet Nutrition says that the company's 5% average reduction across most Science Plan and Nature's Best products and 6.1% average reduction on Prescription Diet products has proven popular with practices and pet owners alike.
As evidence of this, the company points to data from Euromonitor*, the independent market analyst, which shows Science Plan Healthy Development Puppy is experiencing faster volume sales than the rest of the market, outpacing the growth of popular grocery brands**.
*Euromonitor July 2010 & Hills Data May 2010.**Such as Pedigree, Winalot and Bakers brands.
Bayer Animal Health has extended the range of Baytril presentations with the introduction of a new 250mg Baytril Flavour Tablet, for the treatment of enrofloxacin-sensitive bacterial infections in large breeds of dog.
One Baytril 250mg tablet contains 250mg of enroflaxacin which will treat a dog weighing 50kg, and help ensure client compliance.
Baytril Flavour Tablets have a wide range of indications in companion animals, including infections of the alimentary tract, respiratory tract, urogenital tract, secondary wound infections and otitis externa.
With the advent of the new 250mg Baytril Flavour tablet, vets can now choose from an even broader range of Baytril presentations and pack sizes, with four tablet strengths, two injectables, and one oral solution available.
Bayer says Baytril is unique in being the only antibiotic range with so many licensed treatments options for cats and dogs, as well as an oral solution and an injectable solution licensed for small mammals, reptiles and exotic species of birds.
For more information on Baytril and its wide range of presentations and indications, vets can contact their Bayer sales representative or telephone 01635 563000.
Vetoquinol has revamped its Epiphen complimentary voucher scheme for testing serum levels of phenobarbital, and is offering vet practices a chance to win £100 of high street vouchers.
New voucher pads will be posted to participating veterinary practices in August. The re-vamped scheme also includes freepost envelopes to make the free serum monitoring programme more user-friendly.
Practices are being asked to send back the old vouchers, which can be found in both the 30mg and 60mg Epiphen packs, to take part in a monthly prize draw to win £100 of high street vouchers. To enter, return the vouchers with the practice name on the back of each voucher. There will also be a quarterly prize draw for a "Touch Screen" client education tool.
The old vouchers should be sent to: Voucher Amnesty, Vetoquinol, Vetoquinol House, Great Slade, Buckingham Industrial Park, Buckingham, MK18 1PA.
Grahame Gardner Ltd has announced the launch of a classically styled tunic, the M559, now stocked in bottle green for the first time.
The company says that although there have been numerous ladies tunics available in bottle green, this is the first time Grahame Gardner has stocked a male tunic in the characteristic veterinary colour.
The contemporary design of the M559 incorporates side fastening with the option of contrasting epaulettes, alongside practical pockets and side slits. According to the company, it's a tunic that looks great and performs exceptionally well in the veterinary practice. Stocked in sizes from 34" to 50" (chest), the M559 is one of several new styles introduced within Grahame Gardner's latest 124 page brochure.
To explore Grahame Gardner's collection please take a look at http://www.grahamegardner.co.uk/, or call 0116 255 6326 to order a copy of the new brochure.
Petplan is calling for nominations for this year's 'Petplan Pet Insurance Advisor Award'.
The award is to recognise the hard work and dedication that Pet Insurance Advisors (PIAs) do to highlight the importance of insurance to pet owners so that they are protected financially. You can nominate a PIA at your practice by visiting www.petplan.co.uk/pia. The winner will receive a new laptop and their practice will receive £100 in vouchers.
Petplan Marketing Manager Alison Andrew said: "At Petplan we are proud to recognise the dedication and hard work that Pet Insurance Advisors put in to give their customers informed and up-to-date advice. So please get your nominations in!"
Nominations close on 3rd September and the nominees will be judged by industry professionals. The winner will be announced at the annual BVNA Congress on 9th October.
The Royal College of Veterinary Surgeons has called for comment on a new draft health protocol which aims to deal compassionately with veterinary surgeons who have health problems, such as alcohol or drug addiction or mental health issues, while continuing to protect the public interest.
According to independent legal advice sought by the College, such an approach is appropriate and necessary in order for the RCVS to fulfil its regulatory responsibilities - similar systems exist within other regulators.
RCVS President Peter Jinman said: "At present, where veterinary surgeons suffer from health problems that affect their fitness to practise, they may be referred to a formal and public Disciplinary Committee inquiry and stopped from practising. But it is recognised that this is not always in the public interest, which could be protected by a more compassionate approach, involving medical help, workplace supervision and continued practice, subject to conditions."
As a result, the draft Protocol has been developed by the RCVS Preliminary Investigation and Advisory Committees. It formalises and builds on steps taken by the Preliminary Investigation Committee in the past to help veterinary surgeons to recover from health problems affecting fitness to practise, without referral to the RCVS Disciplinary Committee. Often those veterinary surgeons are also receiving help from the Veterinary Benevolent Fund's Veterinary Surgeons' Health Support Programme.
The Protocol encourages anyone coming into contact with veterinary surgeons - including other veterinary surgeons, veterinary nurses, members of practice staff, clients and healthcare professionals - who have concerns about a veterinary surgeon's health to report those concerns to the RCVS as soon as is reasonably practicable. Veterinary surgeons and veterinary nurses who are concerned about the health of a veterinary surgeon must also take steps to ensure that animals are not put at risk and that the interests of the public, including those of their colleagues, are protected.
A similar protocol would be introduced for Registered Veterinary Nurses when the equivalent disciplinary system comes into force next year.
The draft protocol, together with recommended changes to the RCVS Guide to Professional Conduct to support the change, is available online (www.rcvs.org.uk/healthprotocol) and comments are requested by 8 October 2010. The comments will be considered by Advisory Committee and then RCVS Council.
Comments should be sent to Simon Wiklund, Advisory Manager, on s.wiklund@rcvs.org.uk. A hard copy of the consultation document is available on request.
A study by Janssen Animal Health has, according to the company, demonstrated that a leading herbal wormer had no demonstrable efficacy against common poultry worms1.
The trial, done to Good Clinical Practice (GCP) Standards, involved 48 chickens that had become naturally infected with three different poultry worms - Capillaria (Hairworm) species, Heterakis gallinarum (Caecal worm) and Ascaridia galii (Large roundworm). The birds were randomly assigned to one of three groups:
A. Flubenvet treated groupB. Herbal wormer treated groupC. Control (untreated) group.
The herbal treatment was administered for 3 days in-feed, as required by the 'on-pack' instructions and Flubenvet was given for 7 days as required on the product data sheet. Droppings were collected from individual birds and group pens at intervals for 2 weeks and examined for the presence of worm eggs
Table 1: Worm Count Summaries
Group
Minimum
Maximum
Median
A (Flubenvet treatment)
0.00
19.00
B (Herbal treatment)
108.00
1327.00
425.00
C (no treatment)
74.00
958.00
302.00
The results showed that very few worm eggs were present after one 7-day treatment with Flubenvet. In contrast, those that had no treatment or the herbal treatment still had hundreds of worm eggs in their droppings, suggesting that there were still many adult egg-laying worms present inside the chickens.
Janssen says poultry keepers who rely on preparations like this particular natural wormer may well be building up problems, as the additional numbers of worm eggs in the environment add to the infection pressure and can result in greater worm burdens for their birds. Birds with high worm burdens are more likely to become ill.
According to the Veterinary Medicines Regulations 2009 any product making veterinary medicinal claims needs to be licensed by the Veterinary Medicines Directorate. A licensed product has to show proven efficacy and safety for the animal species involved. Licensed veterinary medicines can be identified by their Vm number, which is shown on-pack. Products termed 'nutritional supplements', that are not licensed do not require the manufacturer to produce any proof of efficacy or safety. It is often easy to buy such products 'off the shelf' because they are not subject to any controls. Any poultry keeper who cares about the health and welfare of the birds is advised to think carefully about their choice of wormer and to seek advice from a vet pharmacist or Suitably Qualified Person (SQP).
1 Evaluation of the efficacy of flubendazole in comparison with a herbal wormer in the treatment of naturally acquired infections of Ascaridia galli, Heterakis gallinarum, and intestinal Capillaria spp in Chickens, Janssen Animal Health
Vetoquinol is introducing Equistro Kerabol Biotin, a complementary feeding stuff for horses which the company says can help maintain healthy hoof and hair growth when used daily.
Equistro Kerabol Biotin will replace Biometh Z and will be automatically supplied in its place when wholesaler stocks of Biometh Z are exhausted.
Equistro Kerabol Biotin is a complex of D-biotin, methionine and Ipaligo zinc in combination with organic selenium and Ipaligo manganese.
Available as a powder in a 3kg bucket which will last 200 days, Vetoquinol says Equistro Kerabol Biotin offers a cost-effective method of ensuring good quality hoof horn.
For more information about any Equistro product, please call 0800 169197 or speak to your local equine territory manager.
Medivet has reported a wide range of public reaction to the recent Panorama programme 'It shouldn't happen at a vets', most of which has been at one extreme or the other.
On the one hand, says the company, many clients have gone out of their way to show their support, whilst on the other, staff have faced considerable anger from members of the public (not known to be Medivet clients).
After transmission, staff at a handful of practices received abusive comments and threatening behaviour. The day after transmission, a veterinary nurse in uniform who was not shown in the programme was called 'dog beater' in the street in Oxford, leaving her feeling very shaken. Staff from other branches have received similar treatment when out in uniform; Medivet recommended that its staff cover up their uniforms when outdoors, and has been working with the Metropolitan Police and other forces.
Two individuals named in the film - Arnold Levy, Medivet's managing partner, and a veterinary nurse who was shown admitting to having struck a dog - received emailed death threats. The nurse has since resigned.
At practices, a receptionist was sworn at, several received abusive phone calls and one of Medivet's kennel staff in Oxted, Surrey was woken in the early hours one morning by people banging on the doors and shouting abuse. Most incidents occurred within the first 48 hours following the programme.
In contrast, Medivet says several practices have been overwhelmed by the level of support shown to staff by clients. Some have brought in gifts of flowers, biscuits and chocolates, and one client visited his practice specifically to tell staff of his and his wife's support.
Staff and managers have received many supportive emails, cards, letters and verbal comments contrasting between the picture portrayed by the programme and their personal experience of Medivet and the level of care their pets receive.
Medivet says that discussions with clients about the programme have been balanced, with many appreciating that the programme was not made in a balanced or fair way. The company also says it believes that, in the vast majority of cases, the strength of the relationship of trust between clients and the teams that look after their pets has not been undermined.
Medichem International has produced an A4 sized laminated poster which illustrates the correct way to wash and disinfect hands thoroughly.
The poster has a sticky back enabling it to be placed near to hand washing facilities in the practice.
If you would like copies of the poster, they are available free of charge by emailing info@medichem.co.uk and stating your name, practice, address and postcode.
Genitrix has announced the reformulation of Cerusolve, which cleans and deodorises the external ear canal of cats and dogs.
According to the company, the reformulation has enhanced Cerusolve's exfoliant and keratolyic properties and has given it a new fresh fragrance. Cerusolve ingredients now include:
Cerusolve is presented in a 100 ml bottle with a soft canula for application. It is priced at £5.65.
Genitrix Marketing Director Rob Watkins said: "Cerusolve has proved itself in practice as a gentle but effective ear cleaner in dogs and cats. The reformulation has given us the opportunity to increase the acidity of the product following a recent study which suggested that topical acidifying products could be therapeutically beneficial for cutaneous yeast infections.
"We believe the new ingredients will enhance the product and, to celebrate its arrival, we're offering practices the opportunity to buy five bottles of Cerusolve and get one free."
Further details are available from Genitrix on 01403 786345.
BEVA Congress Registrations this year show that many more vet practices are now recognising the benefits of Veterinary Nurses attending Congress (8-11 September 2010) and are actively encouraging their VN teams to attend, say the organisers.
Apparently, Veterinary Nurse registrations are already looking healthy compared to 2009.
BEVA Congress hosts a Vet Nursing day each year, with themed lectures aimed specifically at the profession and presented by a combination of vets and vet nurses. Pete Ravenhill MRCVS, partner at Willesley Equine Clinic (now part of B&W Equine Group Ltd) at Tetbury, Gloucestershire, who will be speaking at Congress this year, is always keen for as many of his practice's VNs as possible to attend. He said: "We tend to send three or four of our vet nurses each year, as a part of their annual CPD budget. In our experience they come back informed and enthusiastic, having received masses of information and ways to apply it in their own day-to-day jobs. It also enables our Vet Nurses to realise how much we value them as professionals and how heavily reliant the quality of our service is on their skills and professionalism."
This year the VN day will run on Thursday 9 September and will encompass a broad programme, including Ethics in Nursing. This sensitive topic promises to generate strong interest and debate as well as extend knowledge on making decisions on euthanasia and how to manage bereavement issues.
James Yeates BVSc BSc CertWEL of the department of clinical veterinary science at the University of Bristol, will be exploring Coping with sick horses - when is enough enough. He will consider how improvements in quality of life can be maximised with the use of pain assessment tools, quality of life methodologies and welfare-based care plans. He will also examine the risk of perpetuating suffering, how best to assess and balance the welfare harms and benefits and how best to communicate assessments to owners.
Belinda Johnston, MA VetMB MRCVS, at West End House vet practice at Higham, Suffolk, will explore the topic of Bereavement management - supporting the grieving owner. She will explain the normal grief patterns that can be expected and why it is so important to provide compassionate, empathic care for grieving owners and how practices need to have a clear, proactive idea of how they handle bereaved clients.
Other subjects to be covered on Vet Nursing day at BEVA Congress include Complementary Therapeutics and Rehabilitation, Medical Nursing and Nutrition and Supportive Care. The full day counts as 7 hours of Vet Nursing CPD.
BEVA Congress runs from 8-11 September 2010 at the International Convention Centre, Birmingham. For further information and to register visit http://www.beva.org.uk/
The Recruitment Investment Group (RIG) has established a new recruitment agency that specialises in the supply of skilled professionals to the veterinary animal health market.
The newly formed RIG Animal Health Recruit will be working in the "industry" side of the profession to provide a permanent and temporary recruitment service in areas such as sales, technical product, academia, and laboratory work. The company's activities will not be confined to the UK alone, but, due the nature of this work, it will also operate in Europe.
The new company is headed up by James Roadnight, who has over 14 years' experience in working in specialist recruitment within professional and high integrity industries.
James said: "There comes a time in some vets or vet nurses' careers when they can want a change from working in practice and would like to move their skills to industry or academia. And we can help with this transition. Similarly, companies and institutions have a need to recruit personnel and will benefit from working with an agency that specialises only in this sector and should therefore have the strongest candidates available."
For more information, see www.rigahr.co.uk
CEVA Animal Health has published a trial which, according to the company, shows that horses suffering lameness caused by bone spavin can show marked improvement following treatment with a Tiludronate infusion, in combination with controlled exercise.
Bone spavin is a chronic aseptic osteoarthritis of the distal tarsal joints which, says CEVA, is considered to be one of the most common forms of hindlimb lameness in the horse.
The double-blind, multicentric, placebo-controlled trials were carried out on a total of 108 pleasure horses, show jumpers and eventers of a variety of sizes and breeds, all of which had been clinically diagnosed with bone spavin. The horses were rigorously selected, having to show clinical signs of spontaneous lameness of at least six weeks but less than a year's duration and had to be in daily exercise. Horses suffering proximal suspensory desmitis were excluded.
Horses were defined as suffering from bone spavin if they displayed a chronic hindlimb lameness which improved with distal tarsal joint analgesia and showed radiographic evidence of bony changes associated with bone spavin in the distal tarsal joints. The horses were treated at day zero with a single Tiludronate infusion or a placebo and reassessed 60 days later after a period of controlled exercise.
Eighty seven horses completed the trials, comprising 42 Tiludronate treated horses and 45 placebo cases. By day 60 approximately 60% of the Tiludronate treated horses had improved in lameness by two grades or more, scored on a ten point system.
Horses with bone spavin experience abnormal bone remodeling changes, occasionally with excessive bone resorption in the tarsal bones. Tiludronate works by regulating this bone remodeling through a decrease in the resorptive process, slowing down the degradation of the bone structure when the condition is progressing and alleviating the pain associated with abnormal bone lysis.
CEVA has recently produced a leaflet specifically to help horse owners to understand the diagnosis and treatment of bone spavin. For copies of this leaflet and CEVA's comprehensive veterinary brochure on the product please contact CEVA Animal Health on 01494 781510 or visit the website at http://www.tildren.com/
Tiludronate infusion in the treatment of bone spavin: A double blind placebo-controlled trial
Reference M. R. GOUGH*, D. THIBAUD† and R. K. W. SMITH‡ (*CEVA Animal Health, Bucks, UK; †CEVA Animal Health USA, Kansas, USA; and ‡Department of Veterinary Clinical Sciences, The Royal Veterinary College, University of London, UK). Equine vet. J. (2010) 42 (5) 381-387 doi: 10.1111/j.2042-3306.2010.00120.x
So, after months of speculation, the Panorama documentary: It shouldn't happen at a vets' finally aired last night. Early reaction from most of the profession seems to be one of mild relief that by focussing so heavily on Medivet, the documentary has left everyone else more or less unscathed.
There's also a great deal of sympathy for those hard-working and professional vets and nurses who work at Medivet. They're the biggest losers in all of this, tarred by the indefensible behaviour of a very small number of colleagues, and by the very nature of most of the filming in the documentary (give me a fish-eye lapel camera, and I could make even Mother Theresa look like a crack dealer).
But can everyone else really sit back, think 'not my problem', 'sensationalist rubbish', or 'it'll blow over in a week' and move on?
If you consider only the more headline-grabbing elements of the documentary, any of those would be a reasonable position to take. But look beyond 'Vet Makes Fraudulent Insurance Claim', and it seems the producers might accidentally have hit upon some big challenges facing the profession. Might now be a good moment to reflect on and debate some of these issues?
The first story covered by the documentary was that of an owner who'd found their cat 'weeing blood', taken it to Medivet and been quoted £815.05 for a bank of tests. They'd left in disgust, and visited another practice. This one gave a diagnosis without tests, the bill for which came to 75 quid, including £28 worth of food.
Veterinary costs were a recurring theme throughout the documentary. At the start, Jeremy Vine pointed out the £20,000 lifetime cost of owning a dog, and the £15,000 cost of owning a cat. He said vet bills have trebled in a decade. Mid-way through the programme, the voice-over read: "Veterinary medicine is increasingly high tech, and increasingly expensive. The new generation of vets is taught that working up to an accurate diagnosis may involve extensive tests. More veterinary work means more costs. And later in the documentary, Alex Lee, the reporter, was said to have found evidence of two clients that had spent over £100,000 on their pets over a ten year period.
At the end of it all, the real issue is not about the disparity between one vet's bill and another's, but whether the profession is becoming over-qualified or over-equipped for the job, and consequently at risk of pricing itself out of the market.
Commenting on state-of-the-art care, Professor Innes from the University of Liverpool said in the programme: "We would never push clients into procedures that are unnecessary, but if people want to access the best healthcare for their pet, that's up to them."
Surely every pet owner wants to access the best healthcare for their pet? Of course, Professor Innes is right, there is a market for complex procedures and diagnostic tests. But there's a very fine line between 'pushing' a client into a procedure, and recommending a procedure (to someone who feels emotionally duty-bound to do the best for their cherished pet).
For me, it was ironically one of the Medivet staff who seemed to hit the nail on the head when she said: "The 'Medivet Way' is to work it up to find out why straight away, so... And people can't afford it now really, you know."
Is the word 'Medivet' in her quote interchangeable with a growing list of practices? Does something need to give? Is it time to call a halt to the development of increasingly complex procedures and diagnostic tests developed to save the life of what is, after all, just a cat or a dog?
Or is it a question of veterinary surgeons ceasing to recommend any particular treatment above a certain cost, and instead simply laying out the options available to the client: "Mrs Jones, you've got three options here. Option one is my best guess, and I might be wrong. Option two is my best guess plus these tests, which will help confirm whether I am right and will cost x. Option three is referral to the world's leading expert, who is based in Dallas, but that'll give time for the MRI on board the specially chartered 747". I'm being flippant, but my point is a serious one: as more expensive treatment and diagnostic options become available, so it becomes ever riskier recommending them, rather than simply informing the owner of their choices.
The next story was an important one too. It was the one where a student nurse and the unqualified reporter were tasked with catheterising a dog unsupervised. They struggled. As did the dog. Thanks to the hidden camera, and the reporter interjecting: 'What a nightmare', it made for dramatic TV. But as many have commented in the VetSurgeon forums, a difficult to catheterise dog is not exactly out of the ordinary. And who thinks this was the first time the procedure has been done by lay staff?
More interesting was the polar opposite interpretations of the law on this issue expressed by Medivet on the one hand, and Professor Sandy Trees for the RCVS on the other. In response to the question of whether a trainee should be placing a catheter, Jeremy Vine read from a statement in which Medivet insisted that everything it allows its trainees to do is legal, and that there was no definitive list of procedures that could be carried out by trainees. Two minutes later, and we had Professor Trees appearing to contradict Medivet's statement.
Then we see the reporter and a student nurse taking a blood sample from a cat, before the arrival of a vet. Medivet says: "This procedure was completely legal, normal and was carried out at the direction of a vet. This means that the vet does not have to be present at the time. [The tasks] were not illegal. The trainee veterinary nurses were properly trained and experienced. RCVS inspectors have never raised this as an issue, and it is common practice." But when Jeremy Vine then asked Professor Trees: "Would it be OK for a student veterinary nurse to take a blood sample before a vet arrived into the practice", the answer is no. When pressed: "So supervision means that the vet has to be in the building", Professor Trees hesitates before delivering his more ambiguous reply: 'I would say so, yes'.
How on earth did that happen? How did one of the biggest veterinary groups come to be at loggerheads with the regulator on TV? Remember that Medivet would have had some time to prepare its response, and presumably had it checked by a team of lawyers first. Professor Trees may or may not have had the luxury of as much warning. Still, if el Presidente himself cannot give more than a personal opinion in answer to such an important question, something is amiss. After all, people's careers are at stake here.
The issue here is whether regulation needs to become more prescriptive. For example, is it fair that the responsibility for defining precisely what is 'minor surgery (not involving entry into a body cavity)', and therefore able to be performed by a qualified veterinary nurse, currently rests with the individual veterinary surgeon. And if it comes to it, the only way the veterinary surgeon is going to know whether he or she made the right call is if and when it comes to be tested in court.
Talk about closing the stable door after the horse has bolted.
Surely it is time now, particularly in the (like it or not) increasingly corporate and less personally accountable world we live in, for the profession and everyone in it to have clearer leadership in terms of what is and what is not acceptable.
I won't dwell on any of the other stories covered by the documentary, because I don't think any of them are individually revealing of very much.
A student nurse struck a dog. 'Walloped' according to the reporter; 'smacked' according to an onlooker. There's a difference. Either way, a difficult one to defend.
Then a member of staff (and I couldn't work out whether it was the vet or the nursing assistant) started playing with an anaesthetised kitten as if it were a puppet. That was damning for the lack of humanity it showed.
Next we saw a new grad trying to intubate a cat. For some reason, it didn't go as smoothly as it should. Some speculation in the VetSurgeon forums as to whether she applied the local anaesthetic correctly or not, but the cat was fine. Mistakes happen.
Next we saw a dog that had a condition which made it susceptible to cuts. A 'new girl' says she thinks she must have accidentally cut its pad as she closed the kennel door. Not the end of the world, except we then see the staff plotting to tell the owner that it happened before the dog arrived at the practice, and that they would need £13 worth of Fuciderm. Again, it isn't what you would call the crime of the century. But it was nevertheless a damning piece of film for the lack of honesty shown by the staff.
Then we had the case of the dodgy insurance claims, where the practice allegedly split what should have been one claim into three 'by accident', so that they could effectively increase the total amount the owner would be able to claim. Difficult to get really het up about this one. I mean, I know it's wrong. But it wasn't exactly in the same league as Lord Brocket taking the oxyacetylene torch to his car collection. And as far as I could see, the unwitting beneficiaries of this one were the dog and its owner. No, the real problem was that in the same breath as Medivet proclaimed its innocence, its employee was there in technicolor explaining exactly how and why the deed was done.
Guy Carter, one of the Medivet partners was next on the rack. The Panorama reporter alleged that he instructed staff to bill a client for a monitor that wasn't used. The company says it was. So it's their word against hers. Unfortunately, the company's word wasn't looking that good by this stage in the proceedings.
As I said earlier, these things don't individually tell anyone much. But collectively, I wonder whether they don't highlight another important issue, which is the apparent 'disconnect' (hate using the word like that, just can't think of a better alternative at this time of night) between what the public wants (i.e. a close, trusting relationship with an accountable James Herriot-type-figure, personified in the film by Bob Stevenson), and what the corporates can realistically deliver.
I was chatting about this with a locum vet this afternoon. His experience is that in small practices where the owner is present, there is always a better atmosphere. Staff take more pride in their work, and deliver a higher standard of care than in the corporates.
Isn't that really what the documentary showed? Yes, they were especially excruciating examples of how people behave when they don't have a real sense of ownership in a business. But isn't a lower, less personal standard of care an inevitable consequence of corporatisation?
Incidentally, my apologies for labelling Medivet a corporate rather than a partnership, but like it or not, that's the public perception of a chain.
Finally, the star of the show made his grand entrance. Kfir Segev, charged with recommending £2200 worth of MRI scan for a dog that was obviously dying. Now that is despicable. He's found guilty of unprofessional conduct, and struck off. I suppose 'vet commits fraud, is found out and punished' is not the stuff of which great documentaries are made, so Panorama tried to make something of the fact that he continued to work for 28 days whilst deciding whether to exercise his right to appeal. And? Perhaps sensing they still had a bit of a non-story on their hands, they tried to make an issue out of the fact that he'd continued to work as a practice manager after being struck off. It was all a bit lame, really.
Still, not as lame as the finale, which was the 'revelation' that Medivet collected blood from rescue dogs, in return for donations of food and supplies. Panorama claimed the blood was sold at a profit. Medivet claimed it is subsidised. Does anyone actually care either way?
Since the documentary was broadcast last night, Medivet has issued a further statement in which it does the honourable thing, and takes responsibility for everything it needed to. Medivet will recover from this. If the professionalism of the response is anything to go by, it will emerge stronger. Still, the big questions remain. How to address the spiralling costs that accompany the latest advances. Can the profession afford, any longer, to leave so much to the discretion of the individual, or is it time to demand a more prescriptive regulatory environment? And finally, how can the corporates deliver the kind of service that the public seems to want? Doubtless there will be some who'd like them to fail in this regard. But as we've just seen, it does nobody any favours if they are allowed to do so in a way that threatens to bring the whole profession into disrepute.
Pfizer Animal Health has launched a dedicated Equine Business Unit to provide a higher level of service and a comprehensive range of products to equine vets across the UK.
Created following the merger with Fort Dodge, the Pfizer Equine Business Unit is headed by Ben Lacey MA Vet MB MRCVS, who has previously held both technical and sales roles at Pfizer. Ben and his team have a brief to offer a breadth of product, support and flexibility not previously available to equine vets.
The product range offered by the Pfizer Equine Business Unit includes the Equest range of parasiticides; the Duvaxyn vaccines for Equine Herpes Virus, West Nile Virus and Rotavirus and products such as Equimidine and Torbugesic. Also offered are existing Pfizer brands such as the Equip vaccine range, the antibiotic Excenel Sterile Powder, the NSAID Rimadyl for Horses and Depo-MedroneV.
Five experienced account managers with a strong track record in the equine sector have been appointed by Pfizer to build relationships with equine vet practices on a regional basis. They are:
South East England Mark BakerWest Midlands, Cheshire, Wales Laurie MayEast Anglia, East Midlands Penny McCannSouth West, South Wales Anna CunninghamThe North, Scotland Alexandra Cox
Ben Lacey said: "Building our new team and combining the highly regarded products offered previously by both Fort Dodge and Pfizer has proved a stimulating process. We've also worked closely with many of our existing practice customers to look at how we can develop the service we provide to them.
"We're now able to offer a product range which I believe is unrivalled in the market and a highly committed team of equine professionals, who share a vision and passion for equine health. We're looking forward to building our business with both existing and new customers in the months ahead."
The Daily Mail has today published an interview with the 'nurse' who worked undercover at Medivet for tonight's Panorama documentary: It shouldn't happen at a vets (tonight, BBC1 9pm).
Looks like the communications departments at the RCVS, BVA and BSAVA will be run off their feet today. So far, the following radio stations and newspapers have run stories:
BBC Online has published a longer trailer for the programme here.BBC Radio 4 Today - interview with the mole, followed by Sandy Trees (in the recording of the entire programme, it starts at 1:09:05 on the iPlayer timeline)BBC Radio 5 live - interview with Jacquie Molyneux (not available on iPlayer)BBC Radio Tees - 7:50am interview with Bill Reilly (BVA)BBC Radio Somerset - 8:00am interview with Bill Reilly (BVA)BBC Radio Shropshire - 8:40am interview with Bill Reilly (BVA)Aberdeen Press & JournalBBC TwitterChina News (in Chinese)BBC Radio 2 - Jeremy Vine interviews Steve Leonard (starts at 1:10:56 on the iPlayer timeline. Continues through at least a couple of songs. At one point, Jeremy Vine says there are lots of reports coming into the show of good vets too!).dogmagazine.netThe Guardian (TV Review)
I'll be updating the list of news reports over the course of the day.
And reaction to the story elsewhere on the Internet ...
UK Labradoodle forumDigital SpyYahoo AnswersPet forumshttp://www.youtube.com/watch?v=31MgikMLneU (well worth watching, this one).Horse & Hound forums
Incidentally, in case anyone is asked for an interview, BVA has produced an advice sheet on the subject for its members, plus a briefing document. The association has also published a response to the Daily Mail story on its website.
CEVA Animal Health has published an information booklet on Q Fever to help broaden awareness and understanding of the disease.
Q Fever is an emerging, worldwide disease that affects goats, cattle and sheep as well as humans. It is caused by the bacterium Coxiella burnetii and can induce late abortions, metritis, fertility problems, mastitis and low vitality in neonates born from carrier animals.
The new booklet explains how the disease is transmitted, the symptoms, diagnosis and how it can be managed and prevented. CEVA already have expertise in the treatment of diseases caused by Coxiella burnetii and have developed a vaccine that has been used under temporary license to control outbreaks in France and the Netherlands.
To obtain a copy of the booklet please contact CEVA Animal Health Ltd, 90 The Broadway, Chesham, Bucks, HP5 1EG. The proceedings from CEVA's recent symposium on Q fever, held in Marseilles in December 2009 are also available on request.