Further investigation revealed that the products in question: AVA Mature Cat Chicken 2kg, AVA Mature Cat Chicken 4kg, AVA Senior Cat Chicken 2kg and AVA Adult Cat Neutered Indoor 1.5kg, all had insufficient levels of thiamine (vitamin B1), which caused the cats to exhibit symptoms of sudden collapse, fitting, widespread twitching and general unsteadiness.
Talking to the BBC, Pets at Home spokesperson Brian Hudspith said it was important to alert veterinary surgeons as well as customers because thiamine deficient cats would usually present with quite different symptoms, including stiff limbs and the head falling onto the sternum.
He said: "Rather than the more typical cervical ventroflexion (head falling onto the chest) associated with thiamine deficiency, in the three cases we saw the predominant clinical signs included sudden collapse, fitting, widespread twitching and general unsteadiness on their legs, which began suddenly after 4-6 weeks of being on the diet."
Pet owners who have bought the products are being advised by the company to dispose of the contents and return the packaging to any Pets at Home store for a full refund. Owners who think their cat is demonstrating any of the symptoms are being advised to seek immediate veterinary advice, and to contact the company's customer advisors on 0800 328 4204.
IMPORTANT UPDATEDavies Veterinary Specialists has published advice and support for veterinary professionals and pet owners concerning the diagnosis and treatment of thiamine deficiency in cats, here.
The plan is designed to help mimic the way cats eat in the wild and so provide them with both physical and mental stimulation. It also encourages cats to hunt, explore, climb and play – activities which boost cats’ positive behaviour and wellbeing.
Developed by feline behaviour specialist Dr. Sarah Ellis and Dr. Lizzie Rowe at International Cat Care, the plan is also designed to help to prevent overeating and promote a balance between energy intake and energy output, in order to avoid weight gain, as well as encouraging weight loss in overweight cats.
It is estimated that there are 10 million pet cats in the UK1 and the charity points to data which suggests that 39 – 52% of them are overweight or obese2,3, something which is a major health and welfare issue4-9, and can ultimately lead to early death10.
The charity says research shows that current feeding practices are contributing to this obesity epidemic, with a number of factors associated with a cat’s modern lifestyle leading to overeating. For example, most cats need little or no exertion to obtain their food, making it more likely that the calories they take in through eating will outweigh the calories they use up through exercise (leading to weight gain). Furthermore, the way we feed our cats generally does not match the lifestyle they were designed for, resulting in a lack of mental stimulation and reduced opportunity to express natural, instinctive hunting behaviours. This can lead to boredom, apathy, anxiety, frustration and stress in cats, resulting in reduced wellbeing and potentially the development of problem behaviours.
Sarah said: "By making a few simple changes to the way we feed our cats, we can help them to live longer, healthier and happier lives."
The plan recommends:
A detailed version of the feeding plan, along with the full report behind the development of the plan, can be found on International Cat Care’s website:
https://icatcare.org/advice/general-care/keeping-your-cat-healthy/feeding-your-cat-or-kitten
A short version of the feeding plan can also be found there.
References
The product is marketed in a 10ml pack and has an expiry date of December 2017. The batch number is 6231-90D.
The 1ml syringe within the pack has 'Lbs' printed as the unit of measure instead of kg, which could lead to an incorrect dose being administered to dogs.
Any queries about returning this product should be addressed to:
Mr Ken Allen Qualified Person and Quality Advisor E-mail: ken.allen@norbrook.co.ukTelephone: + 02830 264435
Homeopathy is widely used in livestock, especially to replace or reduce the use of antibiotics in the treatment of infectious diseases, although its use is often seen as controversial. For organic agriculture, homeopathy is even promoted.
In the review, Dr Caroline Doehring and Professor Albert Sundrum from the University of Kassel, Germany, assessed peer-reviewed studies on the efficacy of homeopathy in cattle, pigs and poultry published between 1981 and 2014.
They analysed a total of 52 clinical trials, 34 with cattle, 12 with pigs and six with poultry. They were published in 48 publications.
Of these, 28 concluded that the homeopathic remedy administered was effective, 22 showed no efficacy and 2 were inconclusive.
Only 10 trials provided information on cure rates for the treatments. These varied to a high degree, while the remedy used did not seem to make a big difference.
Trials on pigs were frequently efficacious, while studies with cattle or poultry had a similar distribution of efficacious and non-efficacious treatment.
Double-blind randomised controlled trials reported efficacy of the homeopathic treatment almost as often as they reported lack of it.
Meanwhile, single-blind and non-blind randomised controlled trials, and observational trials were more likely to present evidence of efficacy, suggesting that positive outcomes may be due to bias.
Other study limitations, such as potential conflict of interests, low sample size, risk for selective reporting and bias, were found in the majority of trials.
While some clinical trials showed effectiveness, the authors of the review question the reliability of the evidence, because all studies had a range of limitations. For example, all clinical trials were conducted under very specific conditions and none were repeated under comparable conditions.
Therefore, the authors say the findings cannot be be used to recommend homeopathy: "The current evidence of studies providing evidence in favour of homeopathy lacks reproducibility and therefore cannot claim to have sufficient prognostic validity."
"Due to a lack of prognostic validity, replacing or reducing antibiotics with homeopathy currently cannot be recommended unless evidence of efficacy is reproduced by RCTs and proven in various farm practice conditions."
The company says it is a further step forward in its plans to expand into Europe and follows the launch of its online pharmacy business, Animed Direct, into France during 2016. It adds that further acquisitions are expected in Europe during 2017, in addition to continued growth in the UK.
The two Dutch practices joining CVS are the Kliniek voor Gezelschaps Dieren, a three site small animal practice based in the central Netherlands, and a single site small animal practice, Dierenziekenhuis Drachten, based in the north of the country. Both practices cited the business support and staff development opportunities offered by CVS, combined with the clinical freedom and practice autonomy it allows, as the reasons for choosing to join the company.
Simon Innes, CEO at CVS, said: "We see many parallels between small animal practice in the Netherlands and the UK and have been talking to practices in the country about the benefits of joining us for some time. The level of interest has been encouraging and we are delighted to announce the acquisition of these two practices and welcome their teams to the CVS family.
"During 2017, we will continue to explore opportunities to extend our activities into Europe, particularly in the Netherlands and in Ireland."
At the outset of the hearing, Mr Kashiv, from Vets & Pets, Broxbourne, denied all aspects of the charges against him. During the course of the inquiry, some heads of charge were not pursued and some he admitted, leaving the remaining heads of charge to be determined.
The charges concerned the treatment of a Scottish Terrier, called Tanzy, whose owner, Mrs Greenhill, brought her in to see Mr Kashiv on 5 March 2015. Mrs Greenhill was concerned about blood in Tanzy’s urine and swellings in her mammary glands. After carrying out a cytopathology test, Mr Kashiv advised Mrs Greenhill that Tanzy would require surgery to remove the mammary glands. There were no further tests conducted, and no alternatives to surgery suggested.
On 13 March another veterinary surgeon at Vets & Pets therefore undertook a right-side mammary strip on Tanzy, discharging her the following day. On 17 March Mrs Greenhill brought Tanzy back in for a post-operative check and was seen by a locum veterinary surgeon, who found her to be in good condition.
On 20 March Mrs Greenhill then became concerned about Tanzy’s deteriorating condition and returned her to see Mr Kashiv. He admitted Tanzy for observation over the weekend but did not conduct any further tests at that stage, apart from radiography on 22 March. The hospitalisation records were of poor quality and substantially incomplete.
On 23 March Mr Kashiv then informed Mrs Greenhill that Tanzy could be discharged, although he recommended an MRI scan to assist in the diagnosis; this was declined on cost grounds. He did not however explain clearly to Mrs Greenhill that Tanzy’s prognosis was bleak, and did not give adequate home care instructions.
Tanzy continued to deteriorate, and on 24 March Mrs Greenhill took Tanzy to the RSPCA Harmsworth Hospital where a veterinary surgeon conducted tests which showed that Tanzy was in renal failure. The veterinary surgeon then called Mrs Greenhill and recommended that Tanzy was put to sleep, which was then performed in Mrs Greenhill’s presence.
The Committee found that Mr Kashiv had failed to conduct the necessary investigations when Tanzy was admitted from 20 to 23 March 2015, being satisfied that, by the time Tanzy had been hospitalised for a period of three days, it was mandatory for a blood test to have been performed, given her marked deterioration.
The Committee also found while Mr Kashiv did express his opinion that Tanzy’s prognosis was poor, he did not give the full explanation required in the circumstances of this case to enable Mrs Greenhill to understand fully the prognosis. The Committee also considered that Tanzy was not in a fit state to be discharged on 23 March 2015, and that he had failed to keep sufficiently clear and/or detailed and/or accurate records.
After full consideration, the Committee found that Mr Kashiv’s actions amounted to serious professional misconduct, and was satisfied that his actions fell far short of the conduct to be expected of a reasonably competent veterinary surgeon in respect of heads of charge 1, 2 and 3 but not 4.
Although it was concerned "about the culture of care in the practice, in particular not having in place proper protocols and procedures and without necessary support from properly trained staff", in deciding on appropriate sanction, the Committee was satisfied that there were "a number of serious misjudgements by Mr Kashiv in this case".
The Committee decided to postpone judgement for a period of two years, whilst recommending that Mr Kashiv agree to undertake a structured programme to benefit his clinical practice including a Personal Development Plan, mentoring, practice visits, additional CPD and regular reports to the Disciplinary Committee.
Non-compliance with these undertakings may result in the hearing being resumed at a date earlier than the two-year period.
Stuart Drummond, Chairing the Disciplinary Committee and speaking on its behalf, said: "The Committee considers that Mr Kashiv is a dedicated veterinary surgeon, as evidenced by the large number of testimonials, and that he provides a valuable service to the community, particularly with rescue animals.
"Nevertheless, the Committee considers that there were a number of fundamental failings in Mr Kashiv’s clinical competence which are required to be addressed during the period of postponement. For the reasons set out above the Committee considers that Mr Kashiv’s clinical practice will benefit from a structured programme over the period of postponement, whilst protecting the welfare of animals, maintaining public confidence in the profession and declaring and upholding proper standards of conduct."
For the full charges, findings and decisions, see: http://www.rcvs.org.uk/concerns/disciplinary-hearings/
The Department for Environment, Food and Rural Affairs (Defra) says this is evidence that its strategy to tackle bovine TB, which costs taxpayers £100m a year, is delivering results.
Defra says that gaining OTF status for the low risk area, covering the north and east of England, would boost trade opportunities and mean some herds require less regular TB testing, reducing costs for farmers.
This would be the first time anywhere in England has enjoyed this status and the government says it is a key step in its 25-year plan for the whole of the UK to be TB-free by 2038.
Environment Secretary Andrea Leadsom said: "Gaining global recognition that more than half of England is TB-free will be a significant milestone in our long-term plan to eradicate this devastating disease, and will open up new trading opportunities for farmers.
"We have much still to do in the worst affected parts of the country, but this shows that our strategy - combining practical biosecurity measures, a robust cattle movement and testing regime, and badger control in areas where the disease is rife - is right and is working."
Results published today confirm all ten licensed badger control operations achieved successful outcomes. A consultation opens today on next steps for badger control in areas that have completed the first four years of intensive culling.
Other measures announced today include:
Chief Veterinary Officer Nigel Gibbens said: "This year we have seen that badger control can be delivered successfully on a wider scale. Further expansion in the coming years, alongside our robust cattle movement and testing regime, will allow us to achieve and maintain long term reductions in the level of TB across the South West and Midlands where the disease is currently widespread."
The government says it is taking robust action to make the country TB-free by 2038, with a strategy including stronger cattle testing and movement controls, good biosecurity, badger control in areas where TB is rife and vaccination when possible.
Vaccinating healthy badgers is part of the government’s long-term plan and could play an important role in preventing bovine TB spreading to new areas of the country. Defra plans to resume the Badger Edge Vaccination Scheme, which offers support for private badger vaccination projects in edge area counties, in 2018 when we expect vaccine supplies to be available once more following the current global shortage.
The government is also supporting farmers to take practical action to reduce the risk of infection onto their farm. This includes support for a new CHeCS TB cattle herd accreditation scheme, on-farm biosecurity demonstrations for farmers, and training for veterinary surgeons delivered by APHA jointly with the private sector. Farmers can also access practical guidance on the TB Hub, which brings advice from farming experts, vets and government together in one place.
At the outset of the hearing, Ms Giles admitted that between 1 August 2012 and 21 June 2016 she had failed to respond to reasonable requests from the RCVS to share her CPD records – these requests amounted to 11 letters, two emails and three telephone calls. Of these attempts to contact Ms Giles, she responded to just one email. This was in May 2016 in which she issued an apology (and an explanation that she had moved address) and offered to provide certificates proving that she had undertaken CPD – despite the fact that no such evidence could in fact be produced.
During the proceedings the RCVS asserted that Ms Giles had failed to comply with several crucial aspects of the Code of Professional Conduct for Veterinary Nurses – namely that all members of the profession are expected to undertake at least 45 hours of CPD over a rolling three-year period in order to keep their professional skills and competences up-to-date, that these CPD records should be provided upon request and that members of the profession must comply with reasonable requests from the RCVS.
In her evidence Ms Giles said that she knew she should have responded to these requests but admitted that she did not originally regard the requests as important and thought that the matter would 'go away' if she did not respond. When it became clear that this was not the case she said she found it difficult to face up to her obligations. She also admitted that her failures to respond were unprofessional and that she now has an appreciation of the importance of undertaking CPD in terms of keeping up with changing practices and advances in veterinary and nursing practice.
Having found the charges against her proved and finding her guilty of disgraceful conduct, the Committee then considered its sanction against Ms Giles. The Committee took into account the seriousness of Ms Giles' failings in that she made repeated decisions not to comply with requests from the RCVS over a protracted period of four years.
Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: "Your failures show, inevitably, a disregard for the regulatory responsibilities of the RCVS to police veterinary nurses' obligations to fulfil their CPD requirements."
He added: "The RCVS can only seek to ensure compliance with those obligations at one step removed, namely by requesting information from its registrants that they have complied with their CPD obligations. They are in this respect, therefore, heavily dependent on the cooperation of registrants to provide full, honest and prompt responses to their reasonable requests for confirmation of their compliance. It is that which has been sorely absent in this case."
The Committee heard mitigating evidence on behalf of Ms Giles including witness statements and letters from current and former colleagues which complimented her communication skills with work colleagues and animal owners and in which it was accepted that she is a "valued member of the veterinary nursing profession."
The Committee also recognised that she had shown insight into her failings, that she had not attempted to excuse the failures to respond to the RCVS and had been making efforts to keep records of her CPD.
However, the Committee decided that a suspension from the Register would be the most appropriate sanction. Professor Barr said: "The mitigation that has been advanced on your behalf has been considered by the Committee and that has served to reduce the period of suspension that a bare account of the facts pertaining to the charge laid against you might suggest is appropriate.
"In the result that mitigation has persuaded us that we would be acting consistently with our public duty by imposing a period of suspension of two months. In imposing that sanction we have noted the evidence as to your professional competence and your other professional qualities. The Committee trusts, therefore, that once you have served your period of suspension you will return to the practice which you say you love."
The ban on gatherings applies to birds at higher risk of avian flu including chickens, turkeys, ducks and geese, and restricts events such as livestock fairs, auctions and bird shows.
Since the disease was declared on 16 December it has now been confirmed all 2,500 birds at the farm have been destroyed, the farm has been disinfected and there have been no subsequent cases reported, though a 3km Protection Zone and a 10km Surveillance Zone around the site remain in place.
The ban is part of the Government’s measures to tackle the disease and reduce the risk of the virus spreading, which includes a requirement to keep all poultry and captive birds housed or otherwise separated from contact with wild birds and advice urging farmers and poultry keepers to ensure strict biosecurity standards.
The ban on gatherings does not apply to pigeons or aviary birds which are at much lower risk of passing the disease to domestic poultry. It will be kept under review and may be lifted or amended if the risk level changes.
Advice from Public Health England remains that the risk to public health from the virus is very low. The Food Standards Agency has also made clear bird flu does not pose a food safety risk for UK consumers. There is not anticipated to be any impact on the supplies of turkeys or other birds over Christmas.
Chief Veterinary Officer, Nigel Gibbens, said: "While we have seen no further cases of bird flu following the outbreak in Lincolnshire, we must continue to be vigilant and do all we can to protect against this highly pathogenic strain of the disease.
"This ban on gatherings is a proportionate step that will help protect our farmers and bird keepers from seeing their flocks infected with this disease that can have a devastating impact on poultry.
"The risk to human health continues to be very low and there is no impact on the food chain, but infection at a gathering could lead to rapid dispersal of infection to kept birds in many locations.
"Our Avian Influenza Prevention Zone remains in place across the country and anyone who has regular contact with birds should stay alert for signs of disease, maintain the highest biosecurity standards and take all reasonable steps to minimise contact between poultry and wild birds."
Bird keepers should report suspected disease immediately and must maintain high biosecurity standards by:
They're holding 80 live prize draws in which each member of its 190-strong team has the chance to win things like a weekend for two in New York, European holidays, festival tickets, a 40” smart TV, an extra weeks’ holiday, an Apple watch, and a chance to be the MD for the day.
Managing director Tim Harrison said: "Every day at 1pm we broadcast a draw from somewhere in the country on Facebook Live where a lucky winner is picked and announced – it’s creating a real buzz around the group. The final draw for the top prize trip to New York will take place on the Saturday night of our annual Congress. Every team member has been entered and anybody new to our practice is added as soon as they join so nobody misses out!
"This year was the fifth consecutive time that we were named as one of the best places to work in the UK, in the 'Sunday Times Best Small Companies to Work For' league table and the 80 prizes in 80 days is just another fun way in which we hope to reward our much-valued team."
You can watch a recording of one of the prize draws being presented by Tim on youtube here - despite the inevitable lower quality of streamed video, the happy vibe at the business and the degree to which it shows genuine care for its people really shines through.
Rebecca Bredbury, veterinary nurse from Walkden, said: "I watched the live draw on Facebook whilst on my hen do in Tenerife and I couldn’t believe my eyes when I won a holiday for two to Barcelona. I am so excited about going. I will be taking my fiancé Ryan who will be my husband by then."
Charlotte O’Gara, student nurse from Walsall, won the Cadburys hamper. She said: "I’m not sharing!"
The theme of Congress has been chosen to reflect the increasing importance of OVs in safeguarding the UK’s international trade and in protecting human health through disease surveillance and control.
Keynote speakers at this year’s event, which is organised association with the Animal and Plant Health Agency (APHA), include Professor Nigel Gibbens CBE, the UK’s Chief Veterinary Officer; Dr Ryan Waters from The Pirbright Institute in Surrey and Dr Ian Wright, Head of ESCCAP UK & Guideline Director for ESCCAP Europe. It takes place at Alexandra House in Swindon on 21-22 September 2017.
Professor Gibbens said: "UK vets play a range of critical roles, protecting our country from endemic and exotic diseases, leading the frontline response to global challenges, such as antibiotic resistance, and safeguarding our animals to ensure our welfare standards remain the best in the world.
"I look forward to joining our OVs to celebrate this essential work and to explore the themes of this year’s conference - disease control and surveillance - which recognise the importance of vets to international trade and their contribution to our thriving food and farming industry."
David Babington MRCVS, Managing Director of Improve International, added: "This year’s OV Conference will, as usual, feature dedicated lecture streams aimed at large animal, small animal and equine practitioners. We hope the new workshops on the more specialist Official Controls Qualifications (Veterinarian), including those relating to the export of poultry (OCQ(V) AX); the export of food and animal by-products (OCQ(V) PX) and the export of germinal products (OCQ(V) GX), will prove a useful addition to our delegates."
For more information on the Official Veterinarian Conference and Exhibition or to register visit: www.officialvet.com
SPVS/VPMA Congress, which is supported by Boehringer and Citation, will be opened this year by Benjamin Mee, motivational speaker, journalist and the man behind the bestselling book and Hollywood blockbuster "We Bought A Zoo".
Other highlights in the CPD programme include:
The exhibition offers a range of suppliers with advice on marketing, management and business development.
For this year’s President's banquet the theme will be a touch of Moulin Rouge, with high energy festival and party band, RPJ, headed by Rick Parfitt Jnr. Congress will start on Thursday with a Congress Cabaret night, featuring Edinburgh Fringe regulars, Peablossom Academy.
To register and for full details of the programme and sponsors, visit www.spvs-vpma-events.co.uk
The course is led by Gary England, Professor of Comparative Veterinary Reproduction, University of Nottingham. Gary is an RCVS and European College of Animal Reproduction recognised Specialist in Veterinary Reproduction.
Improve says the course has been developed to address a growing interest among first opinion practitioners in developing their knowledge and skills in canine reproduction, so as to provide a higher level of service to their clients and to encourage responsible breeding.
The course will take place on 28 and 29 September at the Guide Dogs National Breeding Centre in Warwickshire.
David Babington MRCVS, Managing Director of Improve International, said: "It's unusual to find courses covering this topical subject which also include practical components. We have constructed the programme to ensure that it provides a balance between small group presentations and practical sessions with plenty of time for discussion and hands-on practice, enabling attendees to implement their new skills straight away."
Further details are available at: https://www.improveinternational.com/uk/course/canine-reproduction/
Photo: Ultrasound of dog with prostatic disease
The extension, which is due for completion before the end of the year, will allow the centre to offer a range of new services, including a new radioactive iodine unit for treatment of hyperthyroidism in cats, a larger echocardiography suite for cardiac patients, an endoscopy suite, an ophthalmology procedure room, a dedicated operating theatre for minimally invasive procedures and 41 new kennels.
Toby Gemmill, clinical director at Willows, said: "The expansion represents a really exciting time for Willows and has been carefully planned to maximise the space we have available to us.
"We are already extremely well placed to offer a wide variety of specialist treatments and this extension will provide us with the space to build on our gold level cat-friendly clinic status with a radioactive iodine unit for treatment of hyperthyroidism in cats, along with dozens of new kennels and range of specialist treatment rooms."
The extension is part of a major investment drive by the Linnaeus Group, of which Willows is a part, which will see it plough around £9 million into its sites across the UK.
Lynne Hill, chief executive of the Linnaeus Group, said: "We are extremely proud of the practices within the group and are fully prepared to support them financially, and in any other way, to ensure they continue to offer the very best facilities and treatment for our clients and patients."
The challenge is part of Merial’s #CALFMATTERS calf pneumonia vaccination awareness campaign.
In total, the group aims to walk over 70,500 miles and raise £15,000 for Farm Africa, a charity which helps farmers and communities in developing countries by giving the advice and products they need to lift themselves out of poverty.
So far the challengers have covered one fifth of their total target, and completed the equivalent of several iconic distances including the Appalachian Trail, Lands End to John O’Groats, and ‘virtually’ crossed entire countries including Australia, China and Japan.
The participants have committed to the challenge by upping their physical activity. Merial has provided them with Fitbit fitness trackers to record their daily steps, which count towards the virtual teams’ total progress. The goal is 141 million steps in 20 weeks.
Robert Smith MRCVS from Farm First Vets is one of the highest steppers of the group. He recently scaled Ysgyryd Fawr (The Big Skirrid), one of the Black Mountains in Wales’ Brecon Beacons, for the challenge. He said: "I used to think of myself as a coiled spring ready for action, but the steps challenge has forced me to realise there is plenty of scope to increase my activity levels significantly. Hopefully when it is all over I will see the benefits and feel physically fitter for it."
Robert has taken the challenge one step further by encouraging his wife, two daughters, and Farm First Vets practice staff to join him in the challenge, with an added incentive. Between now and the BCVA Congress on 19th October, Farm First Vets will donate £50 to Farm Africa for every member of Robert’s team who completes the #CALFMATTERS challenge. Additionally, for every member of staff that achieves an average of 10,000 or more steps per day, the practice will donate £50 to XL Vets’ and BCVA 50th Anniversary charity, Send a Cow.
If you want to support those taking part in the challenge, you can do so at: www.justgiving.com/fundraising/calfmatters.
A survey carried out by the company in 20151 found that 46% of dog owners were not aware that dogs can potentially suffer from the condition, despite the fact that it affects an estimated 375,000 dogs in the UK.3
The company says ocular conditions account for around one in ten canine consultations in first opinion practice,2 with KCS affecting around 5% of all dogs3, and up to 20% of predisposed breeds.4
To help raise owner awareness, Bayer will be holding the first veterinary Dry Eye Awareness Month in July.
Because early diagnosis and treatment can have a significant impact on prognosis, the focus of the campaign will be on encouraging pet owners to speak to their veterinary surgeon in the hope of increasing early diagnoses and improving the uptake of regular testing of at-risk breeds.
The campaign will include a dedicated social media element, targeting communities of at-risk breeds by inviting them to pledge their commitment to managing dry eye in their pet. A range of practice materials have also been produced for practices to support the drive in their waiting room.
Hannah Watts, Group Product Manager at Bayer said: "With this significant gap in owner understanding of the significance of KCS in dogs, it was clear that more is needed to be done to encourage owners of at-risk breeds to visit their vet practice for early diagnosis.
"The focus of Dry Eye Awareness Month is to support vets in championing the issue amongst their client base, through a range of educational materials. We hope vets will join us in utilising the month as a platform on which to discuss the prevalence and potential seriousness of the condition if left unmanaged."
Bayer’s research also found how poor understanding of the lifelong nature of the condition is one of the main barriers to owner compliance when managing cases, further highlighting the need for education.5
Chris Dixon, Director at Veterinary Vision Ophthalmic Referrals, said: "KCS cases can present acutely, or with subtle clinical signs that will not be detected from initial observations and require a Schirmer tear test to effectively quantify the reflex tear film production. Unless vets are actively discussing the condition with owners, and performing these tests on a regular basis, it is likely that many dogs could remain undiagnosed."
"In any case where ongoing treatment is required, client education is key in successful disease management. Accurate determination of the cause of the KCS will allow for an appropriate choice of medical therapy. When adjunctive tear replacement therapy is required, many owners will admit to not having the time to administer treatments frequently enough, which should factor into the recommendations we make as practitioners. For example, offering a longer acting product which requires less frequent application.”
You can download the Remend ‘Vision Matters – A Focus on Keratoconjunctivitis Sicca’ educational guide for veterinary surgeons here: www.remend.co.uk/vets-area.
Dry Eye Awareness Month practice display materials can be ordered from your Bayer Territory Manager or email: ahmarketing@bayer.com
Armed with the new microscope, New Forest Equine Vets (NFEV) has started offering a mobile equine veterinary service, including expert worming advice.
The microscope captures images with a resolution of 1 micron, with a live magnification of x200 and x400 or more, which means that the practice can carry out an accurate egg count in the yard, rather than sending faecal samples off to the lab.
This, they say, allows for a more a more accurate result, because posting faeces can lead to the sample desiccating and the eggs hatching, leading to false negative results. It also allows the veterinary surgeon to give immediate advice and treatment.
Dr. Beth Robinson BVSc Cert AVP(EP) MRCVS, co-owner of NFEV, says "One of the main aims of performing worm egg counts is to identify horses shedding low numbers of eggs so that we can maintain a low number of parasites on the pasture that have not been exposed to wormers and therefore have not been placed under selection pressure for resistance. In horses shedding high numbers of eggs, worm egg count reduction tests are a useful way of assessing whether treatment has been effective."
Andrew Monk, co-founder of ioLight, said: "The product is incredibly simple to use. By using a tablet both the owner and vet can view the image and discuss treatment. We hope that more horse owners in the New Forest will use the services from NFEV to protect their animals, and that it will encourage other equine practices to purchase a microscope so they can also offer a similar high quality service. We have made a video with NFEV to demonstrate their service and encourage other equine vets to use the ioLight microscope in their own mobile clinics."
Beth added: "We are delighted to be working with ioLight and horse owners to keep their animals healthy and improve equine welfare."
ATOP 7 Mousse and PYOclean Mousse are presented as a ‘dry shampoo’ in foam form for cats and dogs. They join the company's Dermoscent portfolio of companion animal products, developed to help with the management of scaling disorders, atopic or allergic skin disease and infections.
Both products contain a blend of plant extracts and essential oils from Hemp seed, which LDCA says has a moisturising and restructuring action on the skin. Atop 7 contains lemon tea tree extract, which the company says boosts anti-inflammatory and anti-pruritic activity. PYOclean contains lavender and manuka, which are claimed to have an anti-bacterial action.
LDCA says it has designed the two non-rinse mousses with owner compliance in mind; that used twice-weekly twice-weekly alone or in combination with other supplements or treatments as part of a skincare protocol, they can extend the time between shampoos. They can also be applied quickly to speed patients’ discharge from hospital or used when animals are boisterous or dislike baths.
According to the company, a 2-week veterinary-supervised study looking at the effect of ATOP 7 Mousse on the skin of flea-allergic and atopic dogs, reported a veterinarian general satisfaction score of 8.7/10. Owners of the dogs on the trial reported an 8.7/10 general satisfaction score and a similar score for the product’s ability to soothe irritated skin.¹
The full Dermoscent range, including the new mousses, is available through Vet Direct as well as Henry Schein (selected products) or as a special order through Centaur. ATOP 7 Mousse and PYOclean Mousse are both available in 150ml packs and are priced at £7.94 + VAT each (list price).
For more information visit: http://www.dermoscent.com. A clinical case study by Dr Jean-Loup Mathet on the use of PYOclean Shampoo, Spray and Mousse in a 14-year old West Highland White Terrier with chronic, recurrent, inflammatory, pruritic and seborrhoeic dermatosis is also available online or by request.
Reference
Mrs Angie Scullion (pictured right) from Okehampton joined the Healthy Pet Club in May 2017 at Okeford Veterinary Centre with her Border Collie, Cassie. She was awarded a year’s free membership by the practice to celebrate the milestone.
Launched in 2010 with 11,000 members, the Healthy Pet Club helps pet owners budget for their pets’ healthcare by spreading payments over a year. They also make savings on vaccinations, flea and worm treatments and receive access to a wide range of other benefits.
Mr Mukesh Rughani, Healthy Pet Club Manager at CVS, said: "Pet owners want value so we constantly research the market to check that the discounts and benefits we offer through the Healthy Pet Club are the ones that we know they will find most meaningful.
"We are delighted that the Healthy Pet Club has reached the 300,000-member mark and we have a number of exciting developments planned for later this year which we believe will make it an even more useful tool for our member practices while setting a new standard in value for our clients."
The inaugural BVA Photography Competition received more than 400 entries from all over the world last year, with Devon-based small animal vet Stephen Powles and equine vet Karen Coumbe’s images of an Egyptian fruit bat in flight and an operation on an infected horse's hoof being declared winners in their respective categories.
Karen said: "I was encouraged to enter the competition because I am fascinated by the amazing things I am privileged to observe in my day to day work, many of which provide exciting photo-opportunities."
The competition, which is open to BVA members, seeks to showcase images that highlight the human-animal bond and offer a tangible insight into the veterinary profession and its work.
Submissions should promote responsible animal ownership and/or interaction, as well positive animal health and welfare.
Photos can be of any species and the BVA says it would especially like to see images of native and domestic species found in the UK. Photos can be submitted under one of two categories:
The winners will receive a £250 John Lewis gift voucher each and get the chance to have their photographs displayed at BVA Members’ Day in September, at other BVA events and in BVA communications.
British Veterinary Association President Gudrun Ravetz said: "From sparrows to elephants, and cats to alpacas, veterinary colleagues submitted such a range, quantity and quality of photographs for our first-ever competition last year that we are really excited to be launching the competition for a second year running.
"We’re all passionate about animal health and welfare, so the way we interact with and capture images of the animal world offers a unique perspective. Whether you enjoy taking photos on your phone or have all of the kit, we’re encouraging all of the veterinary family to give it a go and get involved."
The competition closes at midnight on 19 August.
This year’s entries will be judged by an expert panel of judges from the veterinary and photography worlds.
More details about the competition, including terms and conditions, can be found at www.bva.co.uk/news-campaigns-and-policy/bva-photo-competition
Mr Cortes had pleaded guilty to the offences in January 2017 at Cardiff Crown Court. In February 2017, he was sentenced to six months imprisonment suspended for two years with a requirement to complete unpaid work and rehabilitation activity and a victim surcharge. Following Mr Cortes’ conviction the matters were referred to the RCVS and Mr Cortes was subsequently referred to the Disciplinary Committee.
Mr Cortes did not attend at the Disciplinary Committee hearing and was not represented. The Disciplinary Committee, being satisfied that Mr Cortes had been served with the Notice of Inquiry and having considered and taken into account a number of separate factors, decided that it would be in the interests of justice to proceed with the hearing in his absence.
The Committee considered whether Mr Cortes’ convictions rendered him unfit to practise as a veterinary surgeon. Chitra Karve, chairing the Committee and speaking on its behalf, said: "The Committee has reached the conclusion that the respondent’s possession of this material which has led to his convictions was so reprehensible as to merit the description disgraceful. It considers that by possessing this material, the respondent has brought disgrace on the profession and will have undermined confidence in it. It therefore finds that the convictions have rendered the respondent unfit to practise veterinary surgery."
In considering the sanction the Committee decided that removing Mr Cortes from the Register of Veterinary Surgeons was the only available option. Ms Karve added: "The Committee has determined that the respondent’s behaviour is fundamentally incompatible with being a member of the veterinary profession. It therefore directs the Registrar to remove the respondent’s name… from the Register of Veterinary Surgeons."
The RCVS Inspiration Award is for a veterinary surgeon or veterinary nurse who has demonstrated the ability to inspire and enthuse others consistently throughout his or her career.
The award is open to those who have inspired and motivated individuals or groups or who have worked at a profession-wide level. It will recognise those who have gone 'above and beyond' what may normally be expected from a professional colleague or tutor.
The RCVS Impact Award is for a veterinary surgeon or veterinary nurse who has made a considerable impact that has affected the profession, animal health or welfare, or public health. Such impact could have been made through any field of veterinary endeavour, including clinical practice, research, education or veterinary politics.
Chris Tufnell, Senior Vice-President of the RCVS, said: "I am very excited to be introducing these two new awards for those veterinary surgeons and nurses who go above-and-beyond the call of duty for the benefit of their profession, animals and society as a whole.
"I am keen to emphasise that these two new awards are relevant for veterinary professionals from all walks of life and any stage of their career – these are not life-time achievement awards but are for those making a tangible difference whether that’s in their practice, their region or across the country as a whole.
"If you know someone like this then I would strongly encourage you to find out more on our website and fill out a nomination form."
These two awards join four others made by the College:
Nominations for all six honours are now open. Nomination forms and guidance notes can be downloaded from www.rcvs.org.uk/honours and any questions can be directed to Peris Dean, Executive Secretary, on p.dean@rcvs.org.uk.
The deadline for making nominations is Friday 22 September 2017.
The traditional method for detecting equine lameness is subjective, using expert visual evaluation of gait to identify the presence or absence and degree of asymmetries. The lame horse is described as having a disorder, defect or loss of function and this clinical diagnosis has associated welfare implications if the horse is still asked to perform.
The article explains how advanced computer technology is starting to change all this. Optic motion capture or the use of inertial measurement units (IMUs) is now enabling the detailed study and quantification of the horse’s gait; objective assessment against preset thresholds. The paper points out that while these digital systems can overcome the temporal and spatial limitations of the human eye they simply rely on one or a number of set gait parameters to decide about lameness and this can present obstacles.
Thresholds are forcibly based on a limited reference population, which doesn’t adequately reflect the millions of horses in the world. The individual environmental and mental conditions for each horse and its day-to-day gait variations are also not accounted for. On this basis to use the term ‘lame’ because a horse demonstrates a subtle gait alteration, causing it to fall below the threshold, could be inappropriate, particularly as it may not affect the horse’s welfare in any way.
Professor Celia Marr, Editor of the Equine Veterinary Journal said: "An important first step is for researchers and clinicians to start to discriminate clearly between 'asymmetry' and 'lameness' and not to use these as interchangeable terms when interpreting gait analysis data. Asymmetry is often, but not always, a hallmark of lameness, but is not a clinical term, whereas lameness is."
The first part of the charge was that, between 3 November 2014 and 10 December 2016 he did not provide CPD records to the RCVS requested in four separate letters dated November 2014, September 2015, November 2015 and November 2016. The second part of the charge was that, between 11 December 2016 and 26 July 2017, he did not provide the RCVS with his CPD records despite requests.
Dr Zukauskas admitted to the charge against him at the outset of the hearing.
The Committee considered whether Mr Zukauskas’ failure to respond to requests for his CPD records constituted serious professional misconduct.
The Committee found that he had breached the RCVS Code of Professional Conduct for Veterinary Surgeons by not responding to the repeated requests for information from the College, although the Committee noted that there had not been total silence. Mr Zukauskas had made email contact on at least two occasions in response to RCVS letters and gave evidence that he had attempted to phone the authors of the letters. The Committee also noted that in early February 2017 Mr Zukauskas had made repeated attempts to give the RCVS access to his online CPD account, which he had been updating to reflect CPD work that he had undertaken.
Mr Zukauskas’ explanation for his failure was that he had not fully appreciated the importance of the letters, that his English was poor, and that he failed to obtain appropriate advice about the content of the letters until recently. It was only in a witness statement dated 27 July 2017 that he finally disclosed his full CPD records.
The Committee noted Mr Zukauskas' admission in his evidence that his English was not good, particularly in light of the obligation, brought into the Code in February 2016, for veterinary surgeons to be able to communicate effectively in written and spoken English.
Chitra Karve, chairing the Committee and speaking on its behalf, said: "From that date, if not earlier, the respondent should have been concerned to understand English sufficiently well to address the correspondence from the College. Whilst the Committee did not consider that his conduct in this respect amounted to disrespect, it did consider that he had shown a disregard of his obligations.
"At all times he could and should have made appropriate efforts to respond to the correspondence from the College and obtain appropriate advice. In effect he put off dealing with these matters and put his head in the sand."
Regarding his failure to respond to requests between December 2016 and July 2017, Ms Karve added: "This caused the College a considerable amount of concern and extra work. Had he done so much earlier, much of this matter would have been avoided. The respondent was once again in breach of his obligations."
Having found Mr Zukauskas guilty of serious professional misconduct in relation to both parts of the charge the Committee then considered its sanction against Mr Zukauskas, taking into account the fact that the Veterinary Nurse Disciplinary Committee had recently suspended a veterinary nurse from the Register for a period of two months having found her guilty of similar charges.
In mitigation the Committee considered a number of testimonials from colleagues and clients, his hitherto long and unblemished career in the United Kingdom, and his open and frank admissions and subsequent efforts to avoid repetition of his behaviour. Language problems were also considered as an explanation for why the situation had occurred. However, it also considered the aggravating factor that the misconduct was sustained over a period of time and that there was unacceptable disregard for the obligations he had to the College as a veterinary surgeon.
In summing up Ms Karve said: "The Committee has determined to impose a reprimand. In doing so it acknowledged that the respondent has shown considerable insight into his behaviour. He had acknowledged that he has needed help in communicating with the College. It noted that he is a good and proficient veterinary surgeon in the work which he undertakes. He expressed remorse for his behaviour. He has carried out sufficient CPD and since December 2016 has been communicating with the College. The Committee considers it unlikely that he will transgress again.
"The Committee has decided that it is appropriate in this case to add a warning to the decision to impose a reprimand. It is mindful of the fact that other veterinary surgeons registered with the College have a duty to discharge their CPD obligations and they honour those obligations. Moreover, the conduct of the respondent has involved a considerable amount of work and expense for the College."
The warning was that in future Mr Zukauskas must respond in a timely and appropriate manner to any communications from the RCVS.
Part 1 of "Comparison of veterinary drugs and homeopathy", by Peter Lees, Professor Emeritis in Pharmacology at the RVC, Ludovic Pelligand, Senior Lecturer in Veterinary Clinical Pharmacology and Anaesthesia at the RVC, Martin Whiting, Lecturer in Veterinary Ethics and Law at the RVC, Danny Chambers, an RCVS Councillor currently working at Langford Veterinary Services, University of Bristol, Pierre-Louis Toutain, a European Veterinary Specialist in Pharmacology and Toxicology, and Martin Whitehead Co- and Clinical Director at the Chipping Norton Veterinary Hospital, is published in last week's (August 12th) edition of the Veterinary Record.
The paper considers some of the reasons why medicinal products work and the errors in human thinking which make them seem to work when actually they don't. It also takes a look at the history of veterinary and homeopathic medicine, which helps explain how something as scientifically implausible as homeopathy ever gained traction in the first place.
VetSurgeon.org Editor Arlo Guthrie said: "As the parent of a child with a severe, chronic and highly variable disease, I’ve had prolonged first-hand experience of just how easy it is to fall prey to the sorts of errors in human thinking that can make you believe a treatment is working when in reality it is not. It’s something I continue to have to fight against, despite being well-educated about things like cognitive bias and regression to the mean.
"I believe all veterinary surgeons, and doctors for that matter should constantly remind themselves of these errors and importantly keep them front of mind when advising clients. Not just so they can explain cogently why quack medicine offers nothing more than false hope and a thinner wallet, and why randomised, double-blind, placebo-controlled trials are so important, but also to improve their own assessment of a patient’s response to treatment."
The paper can also be downloaded here: http://veterinaryrecord.bmj.com/content/181/7/170
Part 2 of the paper is due to be published in next week’s edition of the Veterinary Record.
STOP PRESS VetSurgeon.org has funded the Open Access publication of this paper, so both parts are now available for all to read here:Part 1: http://veterinaryrecord.bmj.com/content/181/7/170Part 2: http://veterinaryrecord.bmj.com/content/181/8/198
Photo: The father of homeopathy, Samuel Hahnemann, Wikipedia