Researchers from Highcroft Veterinary Referrals, the Royal Veterinary College and the University of Zurich are asking veterinary surgeons to take part in a survey designed to identify the rate of complications associated with Angiostrongylus vasorum (lungworm) infection or treatment in dogs.
The research, which is led by Drs Kieran Borgeat, Jose Matos and David Connolly, is the first step of a larger project, which hopes to culminate in the development of a set of consensus guidelines for the diagnosis and treatment of lungworm in dogs.
The researchers say that the guidelines are needed because there is currently no consensus amongst veterinary practitioners as to how dogs infected with Angiostrongylus vasorum (lungworm) are best treated. In addition, whilst there are anecdotal reports of adverse reactions after treatment, none are currently published in the literature.
The survey takes less than 10 minutes to complete, and all participants who leave their email address will be entered into a prize draw for £100 worth of Amazon vouchers.
No pharmaceutical or food companies have been involved in the design or funding of the research, and approval has been granted by the RVC Ethics and Welfare Committee.
The survey will close on 1st May 2016, or when 1000 responses have been completed. All information entered into the questionnaire will be completely anonymous and contact information will be held in a confidential database and not shared with any third parties.
To take part, visit http://tinyurl.com/lungwormsurvey
The Practice Standards Scheme was launched in 2005 and then relaunched in 2015 to better recognise and reward how practices use their resources to create a positive outcome for patients and clients.
The modules and awards for all species groups (small animals, farm animal, and equine) have now been updated and a summary of the changes can be found at the end of each set of the respective modules.
Pam Mosedale, Lead Assessor, said: "These updates are part of our continuous efforts to ensure we have a flexible PSS, one that can respond to feedback and constantly reflect the realities of everyday practice.
"We would encourage all PSS-accredited practices to familiarise themselves with the updated modules, especially if they have an accreditation or awards assessment in the near future."
To view the updates, visit: http://www.rcvs.org.uk/practice-standards-scheme/ and download the appropriate 'related document' (v1.2)
Dechra Veterinary Products has launched a case study competition to find out how veterinary professionals are using Celox, its new haemostatic agent designed to stop heavy bleeding.
According to the company, Celox Veterinary forms a gel-like clot within 30 seconds when mixed with blood.
Dechra says it would like examples of how it has been used, whether for planned procedures or in an emergency, and is asking veterinary surgeons and nurses to send in case histories and photos for the chance to win an iPad2.
Rachel Horton, Dechra's Brand Manager for Woundcare, said: "Celox Veterinary was launched to the market last year, with the human version of the product being used with great success on the battlefield by the British military for several years.
"Now we are asking veterinary professionals to share their experiences of using Celox Veterinary in practice, whether used in its gauze or granular form. It is ideal for fast-acting haemostasis, and provides a quick and efficient solution wherever and whenever bleeding needs to be stopped fast.
"Entrants providing case histories with accompanying photos can enter as many times as they like and have a chance to win an iPad2. Learning about how veterinary professionals are using products is important to Dechra Veterinary Products and assists in developing the high level of support we offer to vets and vet nurses."
Dechra says Celox Veterinary is being used not only for trauma injuries and emergency first aid but also for planned operations including castration, mass removal, nasal polyps, dental extractions and soft palate resections.
Case histories should be emailed to Rachel.Horton@dechra.com before the closing date of July 20th 2012 to be eligible for the draw. For further information about Celox Veterinary, please visit see www.dechra.com
Vetoquinol has announced that Epiphen® Solution, the phenobarbital anti-epileptic treatment for dogs, is now back in stock following a manufacturing issue that has been successfully resolved.
The company says the solution now completes the Epiphen® range to offer convenient dosing for all weights of animal as part of its overall epilepsy management package.
To order, please contact your wholesaler or Vetoquinol Territory Manager.
The resources comprise guidance materials, a health and wellbeing assessment, associate case studies, links to external support and information posters.
The company is also piloting a mindfulness app called Headspace, which is now freely available to everyone at Linnaeus, whether they are experiencing the menopause or have other needs.
Saskia Connell, People and Organisation Director at Linnaeus, said: “Menopause is a stage of life that is unique for everyone who experiences it – and can also affect the people around them.
"For those experiencing the menopause, sadly 45% say they feel their symptoms have had a negative impact on their work, according to the British Menopause Society.
"As an employer, we need to make sure they have our full support and a flourishing career.
One of Linnaeus' practices, Park Vet Group, has taken things a step further and introduced other wellbeing initiatives to support its associates with the menopause.
The practice offers confidential support to all associates who want to talk about any health concerns, plus open sessions to establish conversations about menopause.
Its team, led by Practice Manager Harriet Tims (pictured right), also introduced yellow 'Just to Make you Smile' toiletry bags containing sanitary products, tissues, hygiene wipes, deodorant spray and face wipes.
Anyone at Park can help themselves to the bags, or add products should they wish.
Of particular note is the guidance that prescriptions should no longer be written in mg/kg, as it may lead to errors when the dose is calculated.
The Standards and Advice update also answers questions about:
https://www.rcvs.org.uk/news-and-views/features/prescribing-pom-vs-joint-guidance-from-the-rcvs-and-vmd/
The project was launched as a joint initiative between the RCVS and the BVNA in 2016. Its objectives included highlighting veterinary nursing as a career, encouraging more people into veterinary nursing, improving retention, expanding the scope of the VN role, and providing more opportunity for career progression.
The report begins by highlighting perhaps the biggest challenge facing the profession, that in 2019, 25% of veterinary nurses said they plan to leave the profession in the next five years, largely because of poor pay, because they don't feel sufficiently valued, lack of career opportunities and because of a poor work/life balance.
The main achievements of the project, which should certainly help with some of these issues, include:
Jill Macdonald, VN Futures Project Coordinator, said: "The report is a culmination of years of hard work, putting in place measures to champion the veterinary nursing profession and safeguard it for the future. Through the introduction of initiatives like the School Ambassador Development Programme and the introduction of the CertAVN, to name but a few, we have put in place steps to inspire the next generation of veterinary nurses and support the training and development of people currently working in the profession."
You can read the full VN Futures Interim Report at https://www.vnfutures.org.uk/resource-items/vn-futures-interim-report-2021
Clients should be advised that exposure to small quantities of concentrated permethrin can cause severe and fatal poisoning in cats. If they have one of the products, it should be returned to the place it was bought, or returned to the company:
John Tharratt, Bio-Tech solutions. Telephone 08704 450154. Email: JTharratt@btsl.uk.com
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The RVC is the oldest veterinary school in the English-speaking world, and the creation of the College in 1791 marked the establishment of the veterinary profession in Britain.
To mark its 225 years and celebrate the heritage of veterinary and scientific education, the RVC invited alumni back to attend a programme of events, including a gala dinner on Saturday and an Open Day and Campus Tour on Sunday.
Sunday’s activities included displays focusing on the history of the RVC, talks, a film screening and an ethical debate. The ethical debate related to the balance between business and welfare in all aspects of veterinary work. There were events for staff at both the Camden and Hertfordshire campuses on the Friday to mark the College’s birthday.
RVC Principal Stuart Reid said: "It is a great honour to lead the RVC, which has achieved so much over the centuries, within this era of so many exciting breakthroughs. The College has always looked beyond the horizon to make advancements in science and practice, for the benefit of patients and communities globally, yet it is crucial to also recognise the essential contributions of those who have gone before. The early pioneers and those who followed them played essential roles in the evolution of both veterinary and human medicine and the advancement of science.
"As we celebrate 225 years as a world-leading institution, we honour all who have worked and studied here through the centuries. Our current advances in knowledge are built on the efforts of all who have been part of the RVC through the centuries. By acknowledging this heritage, we also reflect on how efforts being made today by researchers, practitioners and students have long-term implications for animal health and welfare globally."
Labrador Retrievers are the breed most likely to run away, according to a survey of 2000 pet owners commissioned by the Blue Cross.
In addition, the survey found that the average dog owner has had their pet run off three times. One in five haven't had their dog microchipped and half of those say they probably won't ever have it done.
Only 23% of dog owners know it is already mandatory for dogs to wear a tag when in public, and only half of those knew the tag must bear the owner's name.
1/3rd thought the maximum fine for a dog being without a tag would be £100, when it is actually £5000.
The full list of breeds most likely to do a runner was:
The British Veterinary Association (BVA) has welcomed the Kennel Club's confirmation that, from January 2010, all dog owners and breeders wishing to participate in the Kennel Club/BVA Canine Health Schemes (CHS) for eye disease and hip and elbow dysplasia will be required to have their dogs permanently identified with either a microchip or tattoo.
BVA President Nicky Paull said: "This move has been introduced at the express wish of the veterinary profession through the BVA and we are delighted that the Kennel Club has taken our view on board.
"In November, following discussion at our Ethics & Welfare Group, we called, along with an independent review of the breeding of dogs, for the permanent identification of all registered pedigree dogs. The inclusion of this requirement for participation in the Canine Health Schemes is hopefully the first step."
Boehringer Ingelheim Vetmedica is giving veterinary practices the chance to offer cat owners a free 3ml pack of Metacam to trial treatment in cats with chronic pain.
Boehringer says each free Metacam pack will provide up to seven days' pain relief to an average-sized arthritic cat, and that it comes in an easy-to-administer cat friendly syringe for accurate dosing. The company also points towards a study which demonstrates that Metacam is highly palatable in 95% of cats1.
To qualify for the offer, veterinary surgeons have to fill in a redemption form logging five new cases. The offer is limited to 25 free bottles per practice. Replacement stock will be sent via your usual veterinary wholesaler. In addition, all completed forms will be entered into a prize draw to win one of six copies of the textbook 'Feline Orthopedics'
According to Boehringer, it is estimated that up to 90% of older cats (over 12 years of age) have radiographic evidence of degenerative joint disease2. However, cats may be more restrained than dogs in the way they react to chronic OA pain, and subtle behaviour changes can be a sign that cats are suffering from chronic pain3.
For further information on Metacam and the 3ml trial pack offer, contact your local Boehringer Ingelheim Vetmedica territory manager or telephone 01344 746959.
References
Applications are now open for new members to join the RCVS Preliminary Investigation and Disciplinary Committees.
This is the first time that non-Council members have been able to sit on these two key committees, and follows the approval of a Legislative Reform Order (LRO) to the Veterinary Surgeons Act, which comes into force on 6 April 2013.
Under the new legislation, the two statutory committees will move through a transition period until they completely comprise independently-appointed non-Council members, by July 2015.
This move will provide regulation in line with modern practice, by ensuring that the same group of people is not responsible for setting the rules, investigating complaints and adjudication, and by bringing lay people formally into the Preliminary Investigation Committee.
The LRO will also allow the RCVS to increase the pool of people available to investigate complaints and sit on disciplinary hearings, reducing the workload on the individual Committee members whose primary appointment is to RCVS Council.
This first recruitment phase seeks:
RCVS President, Jacqui Molyneux said: "It's exciting that we can now seek to appoint non-Council members to the two committees involved in our disciplinary system - a breakthrough that has taken a long time to achieve.
"We are interested to hear from veterinary surgeons and lay people who are keen to contribute to the public good and support us in our regulatory role. It's an excellent opportunity to be part of the next chapter of the RCVS, as we become a more modern and effective regulator."
The recruitment process is being handled by Thewlis Graham Associates and details can be found at www.thewlisgraham.com. The selection committee will comprise Sir Michael Buckley, Christopher Laurence MBE QVRM TD BVSc MRCVS and Dr Joan Martin MA FCOT.
The closing deadline for applications is 5pm on Monday 4 March 2013.
A study published by Mike Dryden - one of the world's leading parasitologists - in Veterinary Parasitology has demonstrated that spinosad (Comfortis, Elanco) provides a high level of flea control one month after a single treatment and maintains a high level of effectiveness under conditions of natural challenge following subsequent monthly treatments.
The multi-clinic, investigator-blinded study1 was undertaken in client-owned dogs provided with three consecutive monthly treatments of oral spinosad (SPN) and fipronil/methoprene spot-on (FSM). All other household dogs and cats, to a maximum of four pets per household, were dispensed the same treatment. Subsequent treatments were given when the dog returned for whole-body flea counts and pruritus-scoring on days 30 and 60, with final assessments on day 90 (plus/minus five days on each occasion).
One hundred and twenty eight dogs were enrolled on the study at 10 veterinary practices in the USA (65 in the SPN arm and 63 in the FSM arm). On day 0, mean flea counts were 57.7 (range: 10-1469) and 44.8 (range: 10-717) for the SPN and FSM groups, respectively. On day 90, 55 of the 58 (95%) SPN dogs were flea free compared with only 21/55 or 38% of dogs in the FSM group. Mean pruritus scores declined to 0.92 (6.67 on day 0) in the SPN group and 3.83 (6.33 on day 0) in the FSM group by day 90. Mean flea counts were 0.08 and 5.19 for SPN and FSM groups respectively on day 90 correlating to a reduction in flea counts of 99.9% in the SPN dogs and 88.4% in the FSM dogs. Between treatment differences were found to be highly statistically significant (p<0.0001) for every parameter measured at every time point during the study in favour of SPN.
Anna Jackson, national veterinary manager for Elanco Companion Animal Health said: "The recent study confirms oral spinosad's outstanding efficacy in controlling fleas and associated pruritus in dogs when administered by owners following natural challenge in the home environment".
For further information please contact your local Elanco Companion Animal Health key account manager or phone 01256 353131.
1 Assessment of owner-administered monthly treatments with oral spinosad or topical spot-on fipronil/(S)-methoprene in controlling fleas and associated pruritus in dogs. Michael W. Dryden, William G. Ryan, Margie Bell, Anthony J. Rumschlag, Lisa M. Young, Daniel E. Snyder. Veterinary Parasitology 191 (2013) 340-346
Diverse Undertakings Ltd. has announced that it is extending its services to include support for veterinary practices in securing their RCVS Practice Standards Scheme (PSS) accreditation.
The company was originally formed to provide business advisory services to small and medium sized enterprises across a range of industry sectors. Its services range from general H.R. advice, health & safety guidance and facilities management to candidate sourcing and call-centre services.
However, with previous experience supporting a substantial veterinary practice in Kent for both employment challenges and PSS accreditation, Company Director Neal Palk decided to extend the company's capability to support other veterinary practices in securing their PSS accreditation.
He says that because the needs of each practice vary, Diverse can adapt its service to reflect both the individual circumstances relating to accreditation as well as the capability/capacity with the practice to undertake necessary tasks itself. By using a network of associates, he says Diverse can call upon other specialities (for example - competitively priced office/building equipment) to smooth the progress to accreditation.
Diverse says it offers a range of transparent pricing options to suit the client which, without the overheads of large consultancies, often result in PSS accreditation being achieved for less cost than a typical administrative temp for a month. Monthly retention fee alternatives for other services are available, beginning at £95+ VAT.
Neal said: "Several organisations offer professional services to the veterinary practice sector, but few can claim to have 'been there, done that' and really understand the climate and culture the sector operates within. Diverse Undertakings Ltd. values its experience in the sector and aims to work with other practices to achieve both accreditation and wider business success."
For more details please contact Neal on 07771 843719, e-mail: info@diverseundertakings.com, or visit: http://www/diverseundertakings.com
The BVA Animal Welfare Foundation has announced the availability of an updated version of its A3 poultry poster designed to assist veterinary surgeons identify diseases in free-range birds.
Based on information compiled by Victoria Roberts, Honorary Veterinary Surgeon to The Poultry Club, the BVA says the poster provides an invaluable source of information on diseases affecting exhibition chickens, hens, ducks, geese, turkeys, ornamental waterfowl, quail, ornamental pheasants, guinea fowl and peacocks.
The poster details the symptoms of different diseases, the cause, treatment and species affected as well as sections covering common problems and some causes, common diseases by age and life expectancy for the various bird species. A separate highlighted box contains useful tips for veterinary surgeons to pass on to their clients.
Copies of the poster have been circulated to BVA members as an insert in this week’s Veterinary Record. For further copies (free of charge) please ring 020 7636 6541 and ask for the BVA AWF or email bva-awf@bva.co.uk stating your name and postal address, and quoting AWF Poultry Poster.
Gardner Llewlyn Veterinary Recruitment and VetSurgeon.org / VetNurse.co.uk have announced the winners of a competition in which people were invited to nominate nurses for a special thanks for the work they do.
67 entries from veterinary surgeons, veterinary nurses and pet owners made it onto the shortlist.
Jonathan Lewis from Gardner Llewlyn said: "I know it's a cliche, but it really was very hard to pick an outright winner. In the end, though, we just loved the sheer enthusiasm of Peter Howarth MRCVS's nomination for Louisa Bouchard RVN (pictured right) from the New Era Veterinary Hospital, and thought it takes a very special person to inspire the ringing endorsement of her work."
The team nomination was similarly difficult to pick. However, Stephanie Fursland MRCVS's nomination for the nursing team at The Oval Pet Centre stood out as an example of how a good nursing team can have a really profound effect on other members of the practice team.
A new iPad mini is on its way to Louisa, and a case of champagne is winging its way to The Oval Pet Centre. There was also a draw amongst all the nominators to win another iPad mini, the winner of which was Val Marsh, who nominated Kate Slack RVN from Blacks Veterinary Group.
Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: "We found a lot of the entries really rather moving and whether they came from members of the public or from colleagues in the profession, they all serve to demonstrate the importance - as if anyone needed reminding - of what a good nurse brings to the practice. The nominees should all be very proud.
"We decided that the nominations were too good to keep to ourselves, so we've published them on a publicly visible part of VetNurse (click here), with links back to the nominated practices' websites. Hopefully, it might be a nice thing for any of the nominees to add to their CV, and the links should in time result in these lovely endorsements appearing when people make a relevant search for the practice."
The Society of Practising Veterinary Surgeons (SPVS) is putting out a last call to take part in the SPVS Salaries Survey 2015, open to everybody working in the veterinary profession.
The long-standing survey provides a benchmark for veterinary surgeons, nurses and support staff to see trends in pay and conditions. Designed to provide a complete picture of remuneration levels, the survey covers basic earnings, bonuses, dividends, overtime and benefits such as accommodation, car allowances, private medical insurance and pensions. It also includes questions on employment contracts, hours worked, out of hours and weekend working.
Peter Brown, SPVS Treasurer and author of the Salaries Survey said: “I have been compiling the survey results for a number of years but it never fails to enlighten me as to what is happening in the profession. I know it is also the go to reference guide when practices are recruiting to help ensure they are offering competitive salary packages.
“Participation in the survey is open to all and the more practices that take part, the more accurate and useful the information will be so we would urge everyone working in the veterinary profession to take a few minutes to complete the survey. It can be done online and the information is completely anonymous.”
To complete the survey online, visit www.spvs.org.uk or, for a printed version, telephone 01926 410545. The survey is open until 30 November 2015.
The London Vet Show, which takes place on Thursday 19th November and Friday 20th November at the Olympia Grand, has announced the business programme for 2015.
The programme will include:
Rob Chapman, group event director of the London Vet Show and France Vet said: "The business programme at the London Vet Show has gone from strength to strength with a plethora of informative lectures from top class industry leaders. The informative content includes hints and tips that veterinary professionals can utilise in practice to help enhance their veterinary teams, increase profits and develop their business.”
For further information on the business programme at the London Vet Show or to register for the show visit londonvetshow.co.uk/business.
The event will include empowering talks by Vet Empowered founders Katie Ford and Claire Grigson MsRCVS.
Expert guests include Aoife Smith, an ex-RVN and psychotherapist, Chloé Hannigan from VetYogi and Jo Kelly, a registered veterinary nurse and accredited nutritional therapist.
There'll be hands-on workshops and immersive activities aimed at challenging comfort zones, fostering connections, and cultivating a mindset of growth and empowerment.
The organisers say Vet Empowered Live also offers the chance to connect with like-minded professionals, share experiences, and build a supportive community of peers committed to personal and professional growth.
Katie said: "We're thrilled to bring Vet Empowered Live to life and provide veterinary professionals with a unique opportunity to invest in their personal development.
"Our mission is to empower individuals to unlock their full potential, overcome obstacles, and create fulfilling careers on their own terms.
"We are passionate about providing a safe and inspiring space to do this."
Tickets cost £150 and include six hours of CPD and food and drink throughout the day.
https://www.eventbrite.co.uk/e/vet-empowered-live-confidence-beyond-manchester-2024-tickets-775605325407
https://www.vetempowered.com
The content covers the main points in the WSAVA’s report and offers up-to-date information and advice.
For example, Virbac highlights how the report raises concerns about increasing moves to early neutering, or for neutering to be used as a method of behavioural control, as not all aggressive behaviours are testosterone related.
For that reason, a “castration trial’ with long-acting GnRH agonist is recommended by the report before irreversible orchiectomy is performed.
In addition, there is also evidence that gonadectomy may contribute to the development of some tumours, which is currently under intense investigation, as is the effect of age at castration
Dr Neil Mottram, Technical Manager at Virbac, said: "There is so much new information coming through that vets need to assimilate.
"So the educational reproductive resource is designed to make that journey easier to navigate and provide vets with easy access to up to the minute information on key issues in the report’.
To access the materials visit: https://vet-uk.virbac.com/home/resource-library.html, or contact your territory manager.
The meeting will be led by Dr Rosanne Jepson BVSc MVetMed PhD DipACVIM DipECVIM PGCertVetEd FHEA MRCVS, Associate Professor Small Animal Internal Medicine Specialist at the RVC. It will consist of two talks.
The first, ‘Hypertension and concurrent diseases’, will cover how veterinary surgeons should manage and treat hypertension when it presents with other concurrent diseases such as CKD and hyperthyroidism.
The second, ‘Overview of diagnosis and stage specific management of feline CKD’, will review the recently updated IRIS guidelines and discuss the latest and most up-to-date methods in diagnosing and managing CKD in both the early and later stages.
The meeting will account for two hours CPD.
To register for the CPD meeting, contact your local Ceva account manager or email your name, practice name and telephone number to cevauk@ceva.com.
Defra's Chief Veterinary Officer's annual report was published this week, reviewing developments in animal health and welfare during 2007.
The report, by former Chief Veterinary Officer (CVO) Fred Landeg, summarises progress and developments in the field of animal health and welfare within Great Britain. It also provides a continuous statistical record of the state of animal disease in Great Britain.
Topics covered in the 2007 report include the outbreaks of Foot and Mouth Disease, Avian Flu and Bluetongue, and progress on the UK's Responsibility and Cost Sharing Programme.
Other major areas covered in the report are:
A copy of the full report can be found at http://defraweb/animalh/cvo/report.htm
The Federation of European Companion Animal Veterinary Associations (FECAVA) has launched the European Journal of Companion Animal Practitioners (EJCAP) Online, the first European fully online veterinary journal.
As the official journal of the FECAVA, the EJCAP online is exclusively available to members of national companion animal veterinary associations which are in turn members of FECAVA (which include the BSAVA).
According to FECAVA, the EJCAP online will continue to offer the sort of high quality CPD articles which the magazine was known for during its 21 year history in print. However it will now also be able to offer rich media, such as videos with clinical presentations, endoscopy and ultrasound recordings, diagnostic and surgical techniques, interviews with experts, conference presentations as well as slide shows, interactive quizzes, surveys and animations.
The frequency of publication has also been increased, from three to four issues per year, including one special issue.
The EJCAP online is available in two languages - English and Spanish. More languages are planned in future.
Simon Orr, FECAVA president, said: "Since the momentous decision to publish EJCAP online was taken by our Council in Lille in 2009, we are delighted to offer our members this new and engaging way to gain new information and skills.
As we start work on the next issues, we invite all our readers to give us feedback on this first volume of EJCAP online. On the last spread (page) there is a link to a survey on this new format, to help us further improve and optimize EJCAP online."
To register, visit EJCAP online (www.fecava.org/ejcap).
Defra has announced that Great Britain is to be declared bluetongue-free from 5th July 2011.
From this date, bluetongue susceptible species being exported from Great Britain will no longer need to be vaccinated against BTV8 or meet any of the other 'Annex III conditions.
However, the current EU Bluetongue Directive only allows bluetongue vaccination within a protection zone, so from 5th July vaccination will no longer be permitted in Great Britain.
The British Veterinary Association is supporting Defra to lobby for these rules to be changed to allow vaccination in bluetongue areas.
Harvey Locke, BVA President, said: "The move to bluetongue freedom is thanks to the excellent partnership between government, farmers and vets across Great Britain. It is a tremendous achievement to turn the situation around from the outbreak in 2007 to freedom in 2011.
"We are disappointed that changes to the EU Directive to allow vaccination to continue could not be made before the deadline and we will continue to work with Defra to try to secure this change as soon as possible to allow vets and farmers to make the right choice to protect their herds.
"Those farmers and vets that wish to vaccinate must do so before the 5th July.
"The BVA would reiterate the message to farmers to source stock responsibly to help avoid a future outbreak."