The Emergent Disease Foundation, One Health Initiative, Worldwide Veterinary Service, and UNISON have collaborated to launch Exotic pets: Reducing the of risk of human infection, a new leaflet which explains the hygiene measures that keepers of exotic pets should take.
The organisations say that they hope veterinary clinics, pet shops, medical centres, local authorities and schools will distribute the free leaflet which is also available to download.
The Emergent Disease Foundation says the advice contained in the leaflet is taken from an independent scientific paper entitled 'A review of captive exotic animal-linked zoonoses' published in the Journal of Environmental Health Research.
The leaflet takes the line that it is inadvisable to keep exotic animals as pets, but for those who already have them, recommended measures include: thorough hand-washing with antibacterial soap and alcohol-based gels after handing or feeding an exotic pet; being careful not to touch hair, clothes (including pockets), door handles and other items immediately after handling exotic pets; closely supervising children so that they do not put their mouths close to the animal; and keeping animals, cages and equipment away from kitchens.
Clifford Warwick of the Emergent Disease Foundation, a charity focused on animal-to-human infections, said: "The modern world enables all too easy acquisition of exotic animals into the home. The pet trade in general, with its high turnover and diversity of species available, offers a speed-dating reservoir for bugs from far corners of the globe. My own advice is simple - avoiding exposure to bugs from exotic pets in the home is difficult and best avoided by not keeping them in the first place."
Dr. Bruce Kaplan of the One Health Initiative, which focuses on the connection between health and the environment, said: "As a former U.S. Centers for Disease Control and Prevention (CDC) trained epidemiologist, a retired private practice veterinarian and a public health and humanitarian minded 'One Health' activist for nearly 50 years, I wholeheartedly oppose private ownership of exotic pets due to the known scientific health and safety risks for people and animals. It is a dangerous, irresponsible and irrational practice."
Owen Evans of the Worldwide Veterinary Service, a charity that provides a veterinary resource to animal welfare organisations worldwide, said:"We work on a day-to-day basis with animal health issues, so we are very mindful of how animals and people can share pathogens. Avoiding transmission is best served by minimising risks, which is what this new brochure aims to achieve."
Researchers from the Waltham Centre for Pet Nutrition have published two studies which reveal, for the first time, the most common bacterial species associated with gum disease in cats.
Working with veterinary dentists and the Harvard affiliated Forsyth Institute, researchers used DNA sequencing technologies to identify 267 bacterial species present in feline dental plaque and build a database detailing the differences between bacterial populations in healthy cats and those in cats with gum disease.
Dr. Ian Davis, Oral Health Researcher at WALTHAM, part of Mars Petcare, said: "This knowledge is a first step in understanding the potential for improving oral health of cats through dietary interventions that target disease-associated bacteria."
The studies also revealed that the bacterial species in feline plaque were more similar to those observed in canine plaque than to those found in humans. This suggests that interventions targeted at bacteria which cause oral disease in humans are unlikely to be effective in cats, and there is more potential to learn from interventions that work well in dogs.
Dr. Davis added: "It’s important for pet owners to know that cats are just as susceptible to gum disease as dogs and understand the importance of maintaining a good oral hygiene routine; ideally including tooth brushing and dental treats or a specific dental diet".
The first study was published in Veterinary Microbiology in February 2015. The second was published on 25th November in PLOS ONE, and can be downloaded here: http://dx.plos.org/10.1371/journal.pone.0136986.
Canine leishmaniosis is caused by the protozoan Leishmania infantum, which is found in most continents1. L. infantum is most commonly transmitted through the bite of sand flies and Bayer says there is a growing concern among parasitologists that the distribution of the disease is increasing due to climate change and more frequent pet travel.
Dr. Markus Edingloh, Head of Global Veterinary Scientific Affairs at Bayer Animal Health, said: "We are seeing more cases of canine leishmaniosis in areas where the disease had not previously been found. Dogs travelling and imported from endemic areas are of particular concern for introduction of the disease, while climate change is contributing to the spread of the vector.
It is therefore vital that veterinarians are aware of the disease and are recommending appropriate protection for dogs travelling to, or living in, endemic areas."
In dogs, there are a wide range of potential clinical signs associated with leishmaniosis including generalised lymphadenopathy, weight loss, lethargy, pyrexia, cutaneous lesions, ocular lesions and neurological or vascular disorders, while the severity of disease can vary from mild to life threatening2,3. In humans L. infantum tends to be responsible for the most severe form of leishmaniosis, visceral leishmaniasis, which can be fatal.
While distribution is worldwide, L. infantum is particularly prevalent in South America and the Mediterranean, with annual cases of zoonotic visceral leishmaniasis in people estimated to be 3,500 in Brazil and 875 in the Mediterranean1.
In some areas, over 80% of canine leishmaniosis cases may be asymptomatic1. However, the infection level in asymptomatic dogs is such that these dogs, in addition to the dogs showing clinical disease, can still be responsible for the spread of disease4. Therefore protection against infection to help control spread is vital for both human and dog health, as clinical cases will not always be obvious.
The non-profit scientific association, LeishVet, recommends that prevention should include the use of a long-acting topical insecticide throughout the period of sand fly activity: "Long-acting topical insecticides applied to dogs living in or travelling to endemic areas should be maintained during the entire risk period of potential exposure to/or activity of sand flies."
Bayer says that Seresto, which contains imidacloprid and flumethrin in a slow release collar, has been found to significantly reduce the risk of infection with Leishmania infantum in dogs for up to eight months. Three clinical field studies, performed in endemic areas, indicated a significant reduction in the risk of Leishmania infantum transmission by sand flies in treated dogs compared to non-treated dogs. The efficacy in the reduction of the risk of infection with leishmaniosis ranged from 88.3 to 100% 5,6,7.
For more information, visit www.vetcentre.bayer.co.uk/seresto.
References
September marks ‘Pet Smile Month', and Royal Canin is amongst several companies offering participating practices a great way to build dental sales and reinforce key health messages. During the month, a quarter of a million Doggy Bags and Kitty Packs, including samples of Royal Canin dental diets will be given away. A money off voucher appears on the front of the bags, which can be redeemed there and then against Royal Canin dental products from the clinic. Gill Furniss, Royal Canin veterinary marketing director, says: "We decided that by enabling customers to redeem the money-off vouchers before they even leave the clinic with their gift bags was the best way to ensure that vets get the benefit of these sales - no chance of pet owners taking the bag home and losing the voucher! ‘Pet Smile Month' is a great way for veterinarians to get across the message about good oral care, and an opportunity to help owners keep their pets' mouths healthy for life."
Graham, 72, who worked at Westover Veterinary Centre in Norfolk for 40 years, set off on his bike from his home in Crostwick last week. He aims to complete the journey in two years, following a route that will take him through Western Europe and into Greece before flying to Ethiopia and cycling through Kenya, where he spent eight years as a government veterinary officer in his early career. He will then follow the Indian Ocean down the African continent's east coast to Cape Town.
Graham said: "I’m no stranger to life on the road – my first job on qualifying was as a field vet in Kenya which I did for eight years. This will be a real adventure though as I am definitely not an accomplished cyclist, however I look forward to the challenge and to raising money for AWF. The route may change slightly as the trip goes along, but that’s down more to government travel advice than my decision - for example, although not currently on my route, I would still like to cycle through Egypt to give a lecture or two, however we’ll need to see what’s possible."
Graham cycled via London to join the annual AWF Discussion Forum in Westminster, attended by other vets, parliamentarians and key stakeholders from the sector, before continuing his cycle to the English south coast with TV vet Emma Milne. Along the way Graham will also be working with equine charitable organisations including the Brooke, SPANA and World Horse Welfare, giving equine welfare and dentistry talks, as well as occasionally returning to the UK to lecture and attend AWF Trustee meetings.
If you would like to sponsor Graham and donate to AWF, or simply find out more about his trip through his regular blog posts, visit vetduncdares.wordpress.com.
The RVC has picked up three of the twenty Wellcome Image Awards 2015.
The awards are internationally renowned for showcasing the best in science imaging talent and techniques.
Two of the images (below) were taken at the Lanyon Museum of Comparative Anatomy at the RVC by photographer, Michael Frank. One picture depicts a goat's oesophagus and reticulum, which is the second of four stomach chambers found in cattle, goats and sheep. Michael's second image is called 'Pregnant uterus, equine' and shows a detailed and unique view of a pony foal in its mother's womb.
Nick Short, Head of the eMedia Unit at the RVC, said: "These stunning photographs were taken by Michael Frank to help digitise the extensive collection of anatomical specimens displayed in the Royal Veterinary College museums. As well as providing a unique artistic resource, these digital images are now being actively used to enhance the teaching of anatomy at the College."
Michael added: "I feel immensely proud to be shortlisted with two photographs alongside the RVC in the Wellcome Image Award 2015. I am very pleased that we managed to combine a unique artistic vision with academic necessities and that such an outcome has been valued by the judges."
The third image comes from Structure and Motion Lab PhD student, Sophie Regnault. Sophie's entry is a digital 3D construction of the skull, shoulders and front legs of a Tuatara (pictured top right; click to enlarge).
The Tuatara is a species of rare reptile native to New Zealand, and is all that remains of an ancient group of animals called Rhynchocephalia. These animals shared the Earth with dinosaurs and are now all extinct apart from the Tuatara.
Sophie created the digital 3D model by using virtual X-ray 'slices' of a preserved specimen of the reptile. Using Micro-computed tomography (micro-CT), she scanned the whole animal before digitally re-constructing it and separating the skull and front legs from the rest of the body.
Sophie said: "It is a great feeling to even be recognised this year, as some of the images are outstanding. I didn't expect to get through at all as I'm still relatively new to the techniques I used for my image. It is just fantastic to be nominated; there are some really unique and fantastic pictures in the competition."
Images in this year's competition include everything from a micrograph of a greenfly's eye to a picture showing drug-carrying particles in the lungs of a mouse.
The 20 winning images were chosen by nine judges from the Wellcome Images picture library in the past year. They will be awarded at a ceremony on Wednesday 18 March, 2015 where the overall winner will also be revealed. Sophie's image will also be on display at 11 science centres, museums and galleries around the UK and in America.
Catherine Draycott, Head of Wellcome Images and a member of the judging panel said: "This year's selection of winning images is not only beautiful; they bring to life an incredible array of innovative imaging techniques, and hint at stories and ideas that go beyond the visual. We are thrilled that they will be displayed in so many venues, and look forward to seeing the range of exhibitions, as diverse as the images themselves."
Goat's oesophagus and reticulum - photo credit: Michael Frank
Pregnant uterus, equine - photo credit: Michael Frank
Centaur has launched a new service on the MyCentaur website which allows for 24-hour ordering from any broadband enabled computer.
A secure practice shopping list with controlled staff access to ordering and management information enables practices to safely control any buying.
According to the company, a key feature of the website is that any orders placed on line by 9pm will be delivered the following day, which gives practices even greater flexibility on ordering times over any existing vet wholesaling ordering service. As well as greater convenience, a financial benefit in using this method of ordering is that all on-line orders attract an additional two per cent discount.
Sureflap, the microchip pet door company has teamed up with animal behaviourist Jon Bowen MRCVS to provide a free CPD-qualifying presentation about improving cats' quality of life with simple modifications to their environment.
In the 45-minute webinar Jon explains how the domestic environment impacts on the cat's territory and the stress this creates. He also offers practical advice on how owners can make the space feel safer for the pet.
To view the webinar go to www.sureflap.co.uk/vet/cpd/territory-stress. Complete the quiz at the end, and you'll be sent a CPD certificate.
Outstanding veterinary surgeons, veterinary nurses, animal welfare professionals and animal welfare teams can now be nominated to receive an award by their peers and the general public. Nominees can come from all walks of life, all ages, and from anywhere in the world.
The award categories include:
The Chris Laurence Vet of the Year Award supported by Your Dog and Your Cat magazinesThis award is in recognition of a veterinary surgeon working in practice that follows the footsteps of head judge, Chris Laurence, by educating pet owners and consistently demonstrating their commitment to the continued improvement of animal welfare.
Vet Nurse of the Year supported by Agria Pet InsuranceThis award is to give recognition to a veterinary nurse working in practice, who has shown real commitment to improving and championing excellent animal welfare within their surgery.
Charity Team of the Year supported by PDSAThis award is for an awe-inspiring team whose drive, passion and dedication has changed the lives of animals for the better, improving the standard of animal welfare where they can and working tirelessly to promote and champion their cause.
Charitable Contribution of the Year supported by Blue Cross This award is for an individual who works within a charity, either in a paid or voluntary role, who is consistently driven to the best of their ability, with a single-minded goal of helping save and improve the lives of animals in need.
Farm Animal Welfare Award supported by R.A.B.I. and NADISThis award is for an individual or team which have dedicated their careers to the health and welfare of production animals.
International Cat Care Welfare Award supported by International Cat CareThis award recognises an individual who has made a significant contribution to the development of feline welfare. The recipient of the award is chosen by International Cat Care and therefore the category is not open to nominations.
Since the first Ceva Awards in 2010, hundreds of people and teams have been nominated, with the winners decided by a panel of judges including Christopher Laurence MBE BVSc and James Yeates, chief veterinarian at RSPCA.
The winners and runners up will be honoured at a ceremony taking place on the eve of BSAVA Congress on 4th April 2018.
Ceva Animal Health managing director, Cuneyt Seckin said: "Over the last eight years we have been consistently humbled by the inspirational nominations that we receive from all over the world and we envisage this year to be no exception.
"The Ceva Animal Welfare Awards champion people involved in animal welfare, but they also raise awareness of this important work to wider audiences."
If there is a veterinary surgeon, nurse, animal welfare professional or animal welfare team that you feel deserves to be recognised for their ongoing commitment to animal welfare, visit www.cevawelfareawards.com to nominate.
Entries must be in by Friday 26 January 2018.
Direct Line has revealed the results of a small survey which found that 78% of veterinary surgeons had treated pets for ingesting human medicines in the last year.
100 vets took part in the study, of which 28% reported that they had cases where owners had deliberately given their pet human medication in an attempt to help them. Some vets described incidents of owners believing paracetamol will help conditions like arthritis and limping. In one case an owner gave their cat a quarter of paracetamol every day in an attempt to stop its pain, which instead resulted in the cat dying.
The most common types of medication ingested were:
In total, the veterinary surgeons who took part in the survey reported 243 cases of accidental ingestion of human medicines. The majority (76%) of cases involved dogs. However incidents involving cats, rabbits and guinea pigs were also reported.
Fearne, who has been presenting live TV since she was 15 years old, has published eight books including the top 10 bestseller 'Happy', in which she talks about her own experiences of happiness and advocates raising awareness around the many ways people can build their own resilience and maintain good mental wellbeing.
Fearne has recently been appointed as a Princes Trust Goodwill Ambassador where she will be focussing on young peoples’ wellbeing and mental health.
She is also an ambassador for the charity Mind and has spoken about her wish to help stop the subject of depression being such a taboo.
Noel Fitzpatrick said: "We are absolutely thrilled that Fearne is joining us for the VETFest Conversation this year, continuing on what has become an integral and enlightening fulcrum of the wellness program of our event schedule.
"It means a great deal to myself and the organisers that all delegates who attend VET Festival have a very special and personally enriching experience - but they also feel part of a wider community of compassion too - within the industry among their peers but in a broader societal sense as well.
"With Fearne, we will explore many themes about health and well-being relevant to all of us. We hope to make you think, laugh and have a great time, and impart some wellness to take home into day to day life as well."
The VETFest Conversation is open to all delegates at VET Festival and takes place after the clinical programme on Friday 8th June at 6.00pm – 6.45pm.
You can book tickets for the event here: https://www.vetfestival.co.uk/delegate-info/ticket-information
The surgery was carried out in August 2018 and is, they say, the first time it has been performed on a companion animal anywhere in the world. The dog, a five-year old spaniel called Gigha, has now made a full recovery.
Gigha’s surgery was carried out by Dr Guy Killick and featured in a recent episode of The Yorkshire Vet. Guy said: "Gigha provides vital companionship to her owner, Mrs Taylor. She fell into a drainage ditch last summer and this caused a tiny cut on her elbow.
"The initial wound did not seem severe, however, despite intensive decontamination and treatment with broad spectrum antibiotics, the wound proved to have been infected with a resistant Haemolytic E. coli infection, causing a significant loss of skin from the medial aspect of the elbow. During this time, Gigha was hospitalised and was at significant risk of DIC and septicaemia."
"The skin loss was full thickness and, once the compromised tissue was debrided away, she was left with a large wound.
"We managed the wound in hospital for four days with daily dressing changes and an irrigation device to provide local anaesthesia and the delivery of topical antibiotics.
"Unfortunately, skin grafting in her case was not suitable given the infection and a lack of sufficient loose skin to donate. As such, we elected for healing by second intention but, given the large area, we felt it was important to explore novel methods to accelerate the healing process and reduce Gigha’s pain.
"Surgery using Tilapia fish skin grafts was pioneered at UC Davis in the USA and was used successfully on a horse with acid burns in the UK last year. It is still very rare, however, and had not been used to treat an infected wound before. Nor had it been used on a dog.
"Having done our research though and finding that these grafts have a natural anti-infective and analgesic effect, while also reducing the frequency of bandage changes that would cause discomfort and distress to the patient, we felt it was an appropriate treatment for Gigha and carried out the surgery a week after the initial wound."
Guy says the surgery was straightforward and simply involved tacking the skin in place. It adhered to the developing granulation bed, accelerating its growth and providing an antiseptic and analgesic effect. After application, Gigha’s owner reported that she was much brighter and seemed to be in less pain. Pain-scoring during check-ups confirmed this to be the case despite pain relief being voluntarily withdrawn by the owner.
This initial graft stayed in place for two weeks before breaking down and being removed. By this stage, granulation of the wound had been completed and around one cm of neo-epithelisation had occurred. A further graft was then placed which remained for a further two weeks until the wound was 50% of its initial size. No further grafts were placed as the team did not have access to further supplies so they simply bandaged the wound with traditional bandages. It was completely healed within nine weeks. Eight months on, Gigha has made a full recovery and the wound has healed completely.
Guy said: "Given the large wound area and risk of further infection we decided on this novel approach to improve the quality of life for the patient while the wound was healing. While we were naturally apprehensive of making the first attempt at this potentially revolutionary technique, what we knew about fish skin grafts and suggested that they could work in her case so we were determined to give it a try.
"Looking at her now, you wouldn’t believe that she’d been days from death just a few months ago. Her case is a demonstration of the efficacy of fish skin grafts as a treatment for large wounds where there are no other suitable methods of closure – and for their use in dogs. We hope her story and her recovery will be useful to colleagues treating dogs with similar wounds in the future and are happy to discuss the case with them if this would be helpful.
"I would also like to thank Dr Jamie Peyton, Chief of Integrative Medicine Service at UC Davis for her invaluable help and advice during this case and her assistance in the use of the Tilapia graft."
A new study carried out to look at the efficacy of spinosad (Comfortis) in cats has shown that they can acquire a flea infestation even when kept in a controlled laboratory environment.
The study was conducted on a laboratory colony of 15 cats that had been kept strictly indoors for at least a year, four of which had presented to the dermatology clinics of the Small Animal Hospital of the Toulouse Veterinary School, two with miliary dermatitis lesions and two with symmetrical alopecia.
Further investigation revealed that despite these animals having been confined to quarters for so long, adult Ctenocephalides felis and flea dirt were found on coat brushing.
All the cats were then combed meticulously twice at the start of the study using an extra fine comb and fleas counted before being replaced on each cat. In total 60 fleas were counted. On the cats showing no lesions there was an average of 5.2 fleas per cat and on the cats exhibiting flea allergy dermatitis it was less than one. Two of these cats had no fleas on them, probably due to excessive grooming caused by pruritus.
Spinosad was found to be 100% effective, with no adult fleas found on any cat from day 15 of the study through to day 90.
The cats with skin lesions were assessed for pruritus levels using the SCORFAD system, an extent and severity scale for feline hypersensitivity dermatitis. The SCORFAD value rapidly decreased throughout the study and achieved 98% reduction by day 90. The skin lesions in the flea allergic cats completely resolved during this time without the use of any other flea control or the use of anti-inflammatory products on the cats.
Researchers Maria-Christine Cadiergues and Charline Pressanti from Toulouse Veterinary School also noted a greater level of palatability than previously reported in clinical trials and there were no side effects in any of the cats.
Reviewing the study, David Grant MBE BVetMed CertSAD FRCVS said: "This study confirms that indoor cats, even in a tightly controlled laboratory environment, can still acquire an infestation of fleas. These can be brought in on the clothes of owners of cats if they have been in the garden, for example, particularly in the summer.
"In addition, flea allergic cats may have few fleas on them due to excessive grooming caused by pruritus, and it is often very difficult to persuade owners of the diagnosis, even more so with indoor cats. This study provides precise data to support the above statement.
"This study also demonstrates that spinosad can be used as a stand-alone treatment for mild to moderate flea infestation in an indoor environment without the need for environmental insecticides or anti-inflammatory treatment of the cats. This would be a major consideration for many cat owners."
Reference
Marie-Christine Cadiergues and Charline Pressanti, "Efficacy of Spinosad Tablets Administered to a Colony of 15 Indoor Cats Naturally Infested with Fleas," ISRN Veterinary Science, vol. 2014, Article ID 484308, 4 pages, 2014.doi:10.1155/2014/484308
Running throughout October, it is Ceva's third TV campaign this year to raise awareness of the benefits of Feliway and Adaptil amongst pet owners.
The campaign starts with a Feliway Classic advertisement running from 3rd October until 16th October, followed by an Adaptil advertisement until 30th October, timed for the run up to the firework season.
The new TV advertising campaign will target 18.5 million pet owners and it will air on all the C4 channels, including Channel 4, E4, More4, Film4, Drama, Good Food, Really, W and Home, with two spots during the popular Channel 4 TV show Great British Bake Off, which has 6.7 million viewers.
The TV advertising campaign will be supported by a Sky Adsmart and social media campaign for ADAPTIL.
Claire Russell, product manager for Feliway and Adaptil at Ceva Animal Health, said: "Our autumn Feliway and Adaptil TV advertising campaign is our biggest, most extensive campaign to date. It demonstrates our commitment to raising awareness of how anxiety in pets can affect the relationship with their owners and how Feliway and Adaptil can help."
For further information, visit www.feliway.com or www.adaptil.com.
Virbac has launched Milpro, a palatable milbemycin / praziquantel-based broad-spectrum wormer for dogs and cats.
Milpro is offered in tablet sizes suitable for dogs, small dogs or puppies, cats and small cats or kittens for ease of dosing. It is presented in 4, 24 and 48 packs.
As an aid to owner education and compliance, packs of Milpro use 'Blippar Augmented Reality'. Owners download the Blippar app and scan the front of a pack of Milpro or a dispensing envelope, whereupon the pack becomes animated and various interactive options appear, including educational videos, a built in reminder system and other product information.
Simon Boulton MRCVS, Marketing Manager for Companion Animals at Virbac, said: "The practice team has a crucial role to play in reminding owners that regular worming is essential for their pet's health. With the introduction of Milpro, we are extending our parasiticide range and offering practices an alternative solution.
"With compliance such an issue, we want to use 21st century communication to help practices to get the message across. The result is the introduction of an interactive element to our packs with the use of the Blippar platform. It enables us to create 'Augmented Reality' experiences through which we can provide comprehensive information to owners in an eye-catching and easily accessible way with the aim of boosting compliance and, ultimately, welfare.
"We believe the combination of the small tablet sizes and the innovative packaging will prove attractive and convenient to owners, making Milpro a successful product for practices".
Practices can also request an interactive waiting room poster which enables owners to watch a video on the poster on the importance of worming.
The initiative will run until early 2019, and has been expanded to include cats as well as dogs. In the run up, Lintbells is also offering lunch and learn sessions to help practices implement the clinics.
The company reports that feedback from 50 veterinary surgeons, nurses and practice managers who took part in the initiative last year was encouragingly positive. 86% agreed or strongly agreed that they are now managing mobility issues more effectively in practice and 90% thought client compliance had increased.
96% said they thought vets, nurses and reception staff were communicating more effectively. 95% thought the training had improved staff morale. 94% of veterinary staff felt clients were more confident about managing their pet’s condition and 92% thought more mobility issues had been identified. 74% said they thought practice revenue had increased.
Lintbells Brand Manager, Gemma Cunningham said: "We’re really pleased to be able to help practices to provide support for pets with stiff joints. This year we’ve made some exciting additions to the practice pack based on our ongoing conversations and feedback. Mobility issues in cats are often overlooked and we want to raise awareness and help support owners. By including cats this time round we hope to assist practices with their efforts to encourage cat owners to have their less active and sedentary cats checked out."
Practices that want to register an interest in receiving a Mobility Matters pack can contact their local Lintbells Veterinary Business Development Executive or visit www.lintbellsvet.com.
The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.
The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through.
In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.
Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home.
The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.
RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust.
After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.
According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears.
Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs
"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."
In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.
"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."
Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.
"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."
Graham Gardner has launched its summer collection of scrubwear in the form updated versions of its Urbane and Easiphit Collections, with new colour combinations added to the range.
The Urbane Collection, pictured right, is designed specifically for the female form. Easiephit is a contempary unisex collection.
Simon Ward, Sales Director said: "Scrubwear is becoming a firm favourite with veterinary staff in the UK. The relaxed comfort offered by scrubs is very attractive to staff, and the smart image of colour coded garments is very well received by managers seeking a unified department look. With the increased stocks and increased colour combinations, customers can now get their hands on the new uniforms more quickly than ever before!"
Other colour combinations are still available as special imports. Non-stocked colour requests will be directed to Grahame Gardner's USA Partners and the sales team will ensure that customers are kept updated as to delivery times.
Both Easiephitt and Urbane have also increased their stocked size range. Grahame Gardner now aim to hold sizes from extra, extra small to extra, extra large.
For further information on Urbane, Easiephitt or Grahame Gardner Ltd, please call 0116 255 6326, or visit http://www.grahamegardner.co.uk/.
The first event will take place at Pride Veterinary Centre (Derby, DE24 8HX) on Monday 26th November between 6-8pm.
There will be six different tasks set up (including closed gloving & gowning and x-ray positioning) for each nurse to practise, with an extra station for CPR techniques. At each station participants will be given the chance to see elements of the task being completed by a qualified vet nurse from Pride Veterinary Centre, before being offered to have a go themselves.
Michelle Staniforth-Trengove a Veterinary Nurse at Scarsdale Vets said: "Here at Pride Veterinary Centre we are extremely enthusiastic about helping the next generation of vet nurses in their professional development, and one of the ways we try to accomplish this goal is by hosting these OSCE events. We recognise how important it is to practice key techniques prior to taking OSCE exams, so we look forward to welcoming lots of vet nurses to Pride for an evening of education and fun."
Upon arrival all attendees will receive a goodie bag which contains handy hints and tips to accompany the tasks demonstrated at each station.
Attendees will also be offered a tour of Pride Veterinary Centre, which opened in 2011. The tour will show prospective employees the state-of-the-art facilities, including operating theatres, CT, MRI and x-ray imaging suites, an on-site dispensary, hydrotherapy pool and water treadmill – to name a few!
To attend, email:pride.events@prideveterinarycentre.co.uk.
Petplan has announced that it has won a formal tender to become the chosen pet insurance provider for Vets4Pets and Companion Care, as part of a five year deal to provide cover for over 250 practices.
Simon Masding, Petplan's Head of Sales and Partnerships said: "As the leader in the pet insurance market for over 36 years, we have a rich history of working with veterinary practices across the UK and it is fantastic to see our unrivalled support recognised as part of a formal tender process. This partnership demonstrates our passion for working with and supporting the veterinary profession.
"We are delighted to be Vets4Pets and Companion Care's chosen pet insurance provider and look forward to working together to help give even more pets access to quality insurance cover and an excellent claims experience."
Companion Care Commercial Director Andrei Balta said: "Like Petplan, we put pet welfare and owner's peace of mind first. Through the development of the tender process, it was clear that Petplan offers not only a world class service for pet owners, but our businesses share similar values and a deep respect for the industry."
The protesters, which VetNurse.co.uk understands comprise six veterinary surgeons and 30-40 pet owners, started their march in Parliament Square and are now bearing down on the RCVS Headquarters in Horseferry Road.
The campaigners are, we are told, protesting against the RCVS position statement on complementary and homeopathic veterinary medicines.
No word yet on how the College proposes to defend itself from the hoard; certainly no sign of any cauldrons of boiling oil atop the battlements, nor any riot police yet in evidence.
More news as it happens. VetNurse.co.uk has a photographer on the ground ...
UPDATES
1:00pm: The protesters have arrived at Belgravia House. A couple of protesters are armed with umbrellas, presumably to guard against the ever-present risk of overdose. It's getting messy: we're hearing that they've blocked the pavement. Wait up. Someone has emerged from the College to speak with them. Well hello, Mr President.
1:01pm: We were hoping that some of the protesters might, I dunno, handcuff themselves to Belgravia House or something. But after a tense standoff lasting over 36 seconds, it looks like the protest is petering out already. Apparently they've started dispersing to the park opposite.
1:02pm: Yup, they've all gone off to the park now. This may go down as one of the shortest protests in history.
1:16pm: Word has it they've headed off to the White Horse and Bower.More photos of this momentous occasion to follow ...
1. The seasoned campaigner is always careful to choose any banner that appears over their head with great care.
2. It was a beautiful march. A big march. The bigliest. Haven't seen that many people on the street since Donald Trump's inauguration.
3. The RCVS headquarters under siege.
4. Millie the dog (perhaps better called 'Millie the anecdote') illustrates the flawed thinking behind homeopathy.
5. Nobody told this campaigner than homeopathy wasn't banned in the first place. You can get it from any tap.
6. RCVS President, Professor Stephen May, presumably wishing he'd taken the day off work.
7. It took some hours moments before the crowd dispersed fully and life in London was able to return to normal.
3.43pm: The Royal College of Veterinary Surgeons has issued a statement following the march, which says:
The Royal College of Veterinary Surgeons today met a delegation of around 40 animal owners and veterinary surgeons who wished to voice their concern about a recent position statement by RCVS Council on the use of complementary and alternative medicines, including homeopathy.
President Stephen May and CEO Lizzie Lockett received a copy of an online petition that was set up following the statement, which has since received around 15,000 signatures, including around 11,000 from supporters in the UK.
Stephen and Lizzie also took time to hear accounts and stories from the supporters, and to listen to the points they wished to raise.
In view of the cold, wet weather, the College had laid on some hot drinks for all the visitors, and invited the delegation inside, but these were declined.
Stephen said: "We were pleased to be able to meet our visitors today and to receive their petition, although it was a little tricky trying to answer questions on a busy London pavement!
"We continue to recognise that homeopathy and other complementary therapies are popular amongst some animal owners and certain members of the veterinary profession, as indicated by today’s delegation, but it is worth reiterating that the RCVS Council statement does not ban their use.
"What it does state, is that in order to protect animal welfare, we regard such treatments as being complementary, rather than alternative, to treatments for which there is a recognised evidence base or which are based on sound scientific principles.
"This is similar to the position that we have held on complementary therapies for many years, but we will always be happy to receive and consider scientific evidence that demonstrates their efficacy."
I wouldn't hold your breath.
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Blue Cross has announced the results from its National Equine Health Survey (NEHS) which show that lameness is three times more likely to be caused by conditions such as osteoarthritis in the limb rather than problems in the foot.
Blue Cross runs NEHS in May each year, in partnership with the British Equine Veterinary Association (BEVA). It is sponsored by SPILLERS and Zoetis and supported by the UK’s leading equestrian organisations and charities. This year saw a 35% increase in participation compared to 2014, with survey records returned for almost 15,000 horses, ponies, donkeys and mules.
The charity says that whilst of course the horse’s foot is fundamental to soundness and performance, NEHS results have shown consistently that limb lameness, as opposed to foot lameness, is in fact the biggest syndrome affecting horses.
In the latest survey, conducted in May, a total of 18% were recorded as lame. 13.5% of these were recorded as suffering with lameness such as osteoarthritis, also known as degenerative joint disease (13.9% in 2014 and 14.8% in 2013).
Meanwhile foot lameness was recorded in 4.5% of returns, a similar figure to previous years.
Josh Slater from the Royal Veterinary College, who is member of BEVA’s Health & Medicines Committee and analysed the NEHS data, said: “NEHS is now producing important evidence that is replacing subjective opinion. While the lameness figures were initially surprising, given that the foot has been generally regarded as the main problem area, the fact that these figures have remained consistent over the past three years gives constructive credibility to the data. Our findings will help owner vigilance with day-to-day healthcare as well as help prioritise on areas for future veterinary education and research.”
The six most notable disease syndromes identified in the 2015 National Equine Health Survey were:
23.2% of horses were reported as being overweight with a Body Condition Score of 3.5-5, continuing the upward trend seen in previous years (16.9% in 2014 and 7.8% in 2013). Next year’s survey will explore links between obesity and the possible associated rise of obesity-related diseases such as equine metabolic syndrome (which was reported in 2.4% of 2015 returns) and laminitis.
The survey also enables participants to report on any health problems not covered in the survey questions, giving them a chance to shape future survey subjects.
Gemma Taylor, Education Officer at Blue Cross explains: “This year 11% of our free text answers mentioned gastric ulcers giving a valuable insight into the prevalence gastric ulcer syndrome in the principally leisure horse NEHS population. As a result we will be adding new questions to the 2016 survey to help us find out more.”
The 2015 NEHS survey results are now available from http://www.bluecross.org.uk/nehs2015results. To register for next year’s survey, visit www.bluecross.org.uk/nehs
Ceva Animal Health has extended its Meloxidyl dogs and cats’ range with the launch of a new 5ml Meloxidyl oral suspension for cats.
The company says the new bottle size will provide more prescription options for veterinary practices currently stocking 15ml bottles and is a perfect post-surgery size to send patients home with. The bottles are also clear brown in colour; designed to make it easier for cat owners to see how much liquid is left in each bottle.
Meloxidyl oral suspension for cats contains meloxicam for the alleviation of pain and inflammation. It is licensed for the treatment of musculo-skeletal disorders and the alleviation of post-operative pain.
Rob McLintock, business unit manager at Ceva Animal Health said: "The new 5ml Meloxidyl oral suspension for cats’ bottle will provide veterinary practices with more prescription options for the management and alleviation of pain and inflammation in cats."
To support the launch of the new 5ml Meloxidyl presentation, Ceva is running a competition to win one of five BSAVA Manuals of Anaesthesia and Analgesia by answering one question: ‘How many millilitres are in the new Meloxidyl cat bottle’?
To enter the competition, email analgesics-group@ceva.com. Include ‘Meloxidyl competition’ in the subject line and contact details and the answer to the question in the main body of the email.
For further information on Ceva’s analgesic product range, contact your local Ceva territory manager, email analgesics-group@ceva.com or call 01494 781510.
John said: "This is a great opportunity to raise awareness for what is a very serious problem in our profession - we all know someone within the veterinary community who has had mental health problems - and I am very proud that it is a strong community trying to tackle this issue.
"But it is not just about one day – we can’t forget about it for the rest of the year. We all live extremely busy lives and if we are not functioning as people, we are not going to function as professionals."
John says veterinary professionals must take a balanced and holistic view of their lives and develop strong teams at local, regional, national and even international level, to build resilience in dealing with stress and dispelling the stigma about mental illness that may prevent people seeking help.
Mental ill-health will affect one in four people over the next 12 months[i] and in England, one in six people experience a common mental health problem (such as anxiety and depression) in any given week[ii]. There are particular issues within the veterinary profession, with higher than average rates of suicide, and patterns of distress, anxiety and depression, among other illnesses.
The BSAVA will launch a new ‘Beyond the Clinics’ personal development stream at Congress next April, including a non-clinical series of lectures on physical and mental health, and, with RCVS, it hosts a series of Mind Matters CPD courses across all 12 regions – all of which were sold out in 2016.
John added: "I’m looking forward to inviting colleagues to Beyond The Clinics on the Sunday of Congress, which is a great opportunity for the whole profession to think more deeply about how we look after each other, by increasing knowledge about mental wellbeing, building resilience in dealing with stress and dispelling the stigma about mental illness that may prevent people seeking help.
"I’m also very proud of the BSAVA’s involvement in the Mind Matters initiative, set up by the Royal College of Veterinary Surgeons. All 12 of our regions hosted sold out courses during 2016, which is part of the profession’s response to research showing that the stress of working in modern veterinary practices has taken a heavy toll on the mental wellbeing of many staff."
Limited places are available for the BSAVA’s Mind Matters regional meetings – more information is available at www.bsava.com/Education/CPD/Mind-Matters
The meetings provide training for all members of the practice team to help them recognise any signs of mental problems in their colleagues – and, perhaps, in themselves. The training aims to help individuals know how to communicate with people they are concerned about and offers tips on stress management and staying well.
John, who has suffered mental health difficulties himself, says it is important to reach out and respond as a profession to this serious problem.
"My main advice is to be aware of others, be supportive, understand and appreciate them, notice when someone isn’t acting normally, and also remember that you are in a team together with people to talk to and you should do that. You can’t take stress away completely but you can’t put everything on the practice owner, this is a whole team responsibility – upwards, sidewards and downwards."
Mandy, an Australian-born small animal vet, won in the 'You and Your Work' category with her photograph "Happy Enterotomy", which captures a smiley squeeze-toy being removed from the stomach of a Labrador.
Mandy, who is currently taking time out from full-time work, said: "I am so thrilled to be able to share this photo. It was actually about 10 years or so ago that I encountered this dog. We knew from radiographs that he had eaten a ball, but it was a lovely surprise to make the incision into the stomach and have this happy little chap beam out at us! We have such a cool job as vets, and this just nails it."
Jen captured the judges' attention with her image of rare and native North Ronaldsey and Dartmoor sheep grazing under the Milky Way in Northumberland in 'The wonderful world of animals’ category'.
Jen, who works in mixed practice in Aberdeenshire, said: "I am completely shocked and delighted to have won this competition and it has definitely inspired me to get out with my camera more often. I was very lucky to get this shot as it was a single thirty second exposure - I had some very cooperative models!"
Commenting on Jen’s photo, competition judge and award-winning wildlife photographer George Stoyle said: "Jen Rowland has clearly put some thought into her photo and has shown skill in its execution. From a technical perspective, the exposure used for the sky is just long enough to make the stars visible whilst minimising star trails, and artificial light has been used just enough to highlight the sheep and the rest of the foreground. The entire scene along with the ragged appearance of the sheep gives the image a feeling of wild, remote, windswept moorland, which I love."
Alongside the two winning photographs, five photos in the ‘You and your work’ category and eight in ‘The wonderful world of animals’ category received Highly Commended awards – ranging from giraffes to gannets and Lackey Moths.
British Veterinary Association President Gudrun Ravetz said: "We are delighted by the number and quality of the entries we received this year. The veterinary team is uniquely placed to capture the many wonderful facets of its work on camera, and we are pleased that our members have shared their eye-catching snapshots for BVA’s photography competition, offering us a vet’s-eye-view of their daily work and interaction with the wonderful world of animals."
Mandy and Jen each receive £250 worth of gift vouchers from John Lewis. Their winning images alongside the commended photographs will premiere in an exhibition at BVA’s Members’ Day at W5 Odyssey Belfast later this month (21 September).
The BVA Veterinary Photographer of the Year gallery can be viewed at: www.flickr.com/photos/britishvets/albums
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