Maggie Fisher MRCVS, the parasitologist and chairman of ESCCAP (European Scientific Counsel Companion Animal Parasites), has highlighted studies which demonstrate an association between the common parasite, Toxocara spp. and human disease, and has called on the profession to help reduce the damaging and widespread effects of this parasite.
Maggie says that many in the profession may not be aware that Toxocara eggs aren't actually infective when they are first passed in an animal's stools, sometimes taking weeks to develop to this stage. Eggs persist long after pet waste has naturally washed away too, so the risk of infection still exists even in environments that appear to be clean and safe. Interestingly, there seems to be only a very loose (and according to some studies, entirely absent) link between owning a pet and an increased risk of human Toxocara infection, suggesting that most infections are acquired from the environment1,2 . Education of pet owners about responsible pet ownership, including appropriate worming and picking up their dog's waste quickly is essential to reduce this environmental infection risk.
The parasite's larval stages cause disease in humans as they migrate through body tissues, with retinal damage a previously well identified consequence. However, Maggie has identified studies which suggest a whole range of common conditions that may also be attributable to Toxocara infection. One study3 included 425 children displaying signs of a persistent cough and 1600 asymptomatic children as controls. Blood tests confirmed that a statistically significant 32% of the symptomatic group were positive for Toxocara antibodies, compared to just 17% of the asymptomatic control group. What's more, when given a week's course of an appropriate anthelmintic, the vast majority of symptomatic children had a greatly reduced and frequently absent requirement for inhaled corticosteroids to control their symptoms when re-examined by the study team a year later.
Numerous other studies from around the world have shown similar strong associations with asthma, allergies and epilepsy. One nationally representative US study even showed an alarming association with Toxocara infection and reduced cognitive function in children2 . Those that were positive for antibodies to the parasite on blood tests (proving prior exposure) scored significantly lower on tests assessing verbal and manual dexterity as well as maths and reading abilities2 .
So, what should veterinary staff and SQPs be telling clients? Maggie says you should be advising pet owners to worm pets regularly (at least four times a year) with an effective anthelmintic from an appropriately young age (2 weeks of age for puppies and 3 weeks of age for kittens, because transfer of the parasite to puppies before birth and to kittens via milk is a feature of the parasite lifecycle). Reducing pets' access to raw food and hunting activities can also help. This is in addition to more general recommendations including cooking food well and making sure children wash their hands before eating.
Maggie said: "Vets, nurses and SQPs are perfectly placed to make sure that pet owners are aware of the risks and take precautions to protect themselves and the wider general public."
For further information about effective control of Toxocara and a wide range of other companion animal parasites, visit www.esccapuk.org.uk. To view all the presentations from the 'Everyday Parasites' CPD day, visit www.esccapuk-cpd.co.uk.
References:
The RCVS Charitable Trust, has announced a complete rebranding that includes a change of name - RCVS Knowledge - and the refocus of its mission on supporting the flourishing evidence based veterinary medicine (EBVM) movement across the globe.
For the past 50 years, the charity has been known as a small funder of veterinary research and the home of the only freely-accessible library for the practising veterinary community in the UK.
Nick Royle, Executive Director of RCVS Knowledge said: "RCVS Knowledge is a name that encompasses our three core offerings: historical knowledge represented by our valuable Historical Collection, present knowledge, represented by our library, and future knowledge, represented by the new evidence based veterinary medicine project, which is underpinned by our grants programme."
The RCVS Knowledge re-launch goes further than a mere name change, and comes as the charity refocuses its efforts to become a global intermediary for EBVM, a direction reached following a period of consultation, and on the back of a successful symposium on the subject held at the end of 2012.
Nick, a former CEO of the human evidence based medicine resource, The Cochrane Collaboration, said: "Today, veterinary surgeons and nurses are required to take account of an ever-increasing pool of scientific data, the owners' values and preferences, and their own clinical expertise when making clinical decisions. RCVS Knowledge is ideally placed to generate, collate and distribute this information to support evidence based practices. We aim to develop tools to assist practitioners to quickly make well-informed treatment decisions."
As part of the new direction, the Historical Collection will be made accessible and available online, following a start-up grant from the Wellcome Trust. Clare Boulton, Head of Library and Information Services, said: "The Collection contains priceless and fascinating material, covering topics such as early horse-care and management, veterinary expeditions of discovery through Africa, and research that made the British Cavalry horses of 1914 the finest in the world. But this is just the beginning. If you have relevant experience or some funds that could help us, please get in touch."
Meanwhile, RCVS Knowledge's Library and Information Service will be re-designed to make it much more than shelves of journals, but rather a resource with the capacity to steer first-rate care and innovation, and an information engine capable of driving evidence based veterinary medicine at a global level.
The Grants and Awards program, for which the former RCVS Charitable Trust has been known, will be redesigned to celebrate professional excellence, and to address gaps in veterinary knowledge. Nick said: "We are aware of the responsibilities that veterinary surgeons and nurses face every day and feel we are in a position to support their decision making. We would like to urge every veterinary professional with an interest in EBVM, a curiosity about the history of their profession or a need to access up-to-date research to get in touch, so that we can keep you up to date with developments."
The RCVS has released the results of a survey which has found that increasing numbers of graduates over the last five years have had little impact on veterinary job prospects.
The survey was carried out for the RCVS by the Institute for Employment Studies, which asked the last five years' UK graduates who have registered with the College how long it took them to find work, how long they stayed in their first jobs, and why they moved on.
The online survey, which achieved a 43% response rate (1,354 responders), found that an average of 94% of graduates seeking a role in clinical practice obtained work within six months of starting to look.
The actual figure ranged from a high of 96% in 2008 to a low of 92% in 2010, and did not change significantly over the five years under consideration, despite UK graduate numbers increasing by around a quarter during the same period (from 650 in 2007, to 819 in 2012). Meanwhile, the College has registered an average of 618 overseas graduates annually during this time.
The survey did show that it was taking graduates slightly longer to secure their posts, with a shift from 85% securing work under three months in 2008, to 71% in 2012.
The results seem to suggest some small differences in the time taken for men and women to find their first jobs, with men finding jobs slightly quicker, although the vast majority of both genders found veterinary work.
Jacqui Molyneux, RCVS President said: "After the announcement from the University of Surrey that it will be opening a new vet school in the near future, there was a great deal of discussion amongst the profession about how easily new graduates could find employment. I undertook to get some real facts and am pleased to find that the picture is not as gloomy as predicted.
However, Jacqui said she was concerned that there has been a slight increase in the proportion of respondents who left their first position after a relatively short period of time. Amongst 2012 graduates, over 40% of those who had left their first position did so within three months of starting work. However it must be stressed that only 18% of those answering the survey who graduated in 2012 had already left their first position. Jacqui said: "Although the turn-over in first jobs seems to be, in part, due to an increase in temporary posts, I am saddened to see that the most commonly-cited reason for graduates leaving their first job was lack of support from their employers or professional colleagues.
"This is an area that we, as a profession, must address. As I have told all the students I have admitted to the College, their first jobs will influence their whole careers, and getting adequate support is probably the single most important factor. Meanwhile, it is heartening to see that nearly all of those moving on have obtained further employment."
Although the survey was sent to all those UK graduates who had registered with the RCVS within the last five years, the contact details for those who had subsequently de-registered may not have been up to date, which may mean that those who had de-registered because they could not find work were not well represented. However, the College says it thinks it is more likely that these individuals would have switched to the 'non-practising' category.
A summary of the headline survey results will be available at www.rcvs.org.uk/publications. The full findings, which also looked at the time taken to complete the Professional Development Phase and the type and location of work sought, will be available in due course.
The RCVS Disciplinary Committee has directed that Somerset-based veterinary surgeon Dr Marcus Hutber be removed from the Register, having found him guilty of serious professional misconduct following multiple complaints made against him.
During the 11-day hearing, the Disciplinary Committee heard eight, separate and unrelated complaints against Dr Marcus Hutber, made whilst he was the owner of the veterinary company Epivet Ltd, with practices in Williton and Wiveliscombe, in 2009. The complaints involved a series of allegations including lack of adequate professional care, failure to have regard to animal welfare, failure to make or maintain adequate clinical records (and to provide them on request), and failure to treat clients with courtesy and respect.
In the first case, Dr Hutber was found to have performed surgery on a dog inadequately; failed to provide adequate post-operative pain relief; failed to obtain informed consent for the surgery from the dog's owner; and, failed to keep adequate clinical records of the dog's treatment. In a second case of inadequate professional care, Dr Hutber failed to ensure a cat's condition was monitored adequately; failed to ensure that the cat received appropriate fluid therapy; and, failed to keep adequate clinical records.
Dr Hutber was found to have brought the profession into disrepute by speaking rudely to one of his clients. On a separate occasion, a different client was found to have been treated without due courtesy or respect when Dr Hutber told her to come to the practice at once to get tablets and give them to her dog, otherwise the dog would die (of a disease he had diagnosed without carrying out the necessary investigations) - an instruction he then later repeated despite being told the dog was now being treated at a different practice.
One other complaint, where charges were proved, involved Dr Hutber's refusal to provide an animal's clinical records to a former client.
The Disciplinary Committee found Dr Hutber's conduct in respect of the charges proved in relation to each complaint, standing alone and taken collectively, amounted to serious professional misconduct.
In reaching its findings, the Committee considered the oral evidence and written statements of 20 witnesses (including Dr Hutber), two expert witness reports, a large quantity of documentary evidence, Dr Hutber's extensive rebuttal material and Counsels' submissions. Generally, the Committee preferred the evidence of the College's witnesses to that of Dr Hutber. Despite the Committee accepting he was of previous good character, it found him to be unhelpful and uncooperative, frequently lapsing into periods of silence that could last minutes, and staring fixedly (and, in the Committee's view, intimidatingly) at witnesses and College Counsel. There were also inconsistencies between his written rebuttal to the College, his witness statement and his oral evidence, about which the Committee found him evasive and illogical.
The Committee considered Dr Hutber had shown no insight into the allegations, or appreciated the significance or impact of his conduct upon his clients and their animals. He had shown no remorse or regret for his actions, and had continued to assert that he had done nothing wrong.
Further, he had caused actual injury to an animal by subjecting it to unnecessary revision surgery; displayed an inadequate and incomplete understanding of the concept of informed consent; demonstrated a lamentable lack of concern for animal welfare; brought the profession into disrepute with his treatment of his clients; and, exhibited conduct that fell far short of that to be expected of a member of the veterinary profession.
Chairing and speaking on behalf of the Committee, Professor Peter Lees, said: "The Committee has found that there were fundamental failings in the Respondent's clinical competence, and that there were serious defects in his interpersonal skills in relation to clients. He has throughout displayed a tendency to blame others for things which have gone wrong. [The Committee] is not satisfied that there is a realistic prospect of the Respondent having the ability or inclination to remedy his failings [and] remains unconvinced that there is a real possibility of a change in his attitude.
"The Committee is fully conscious that the purpose of sanction is not to punish, but to protect animals and the wider public interest and to uphold the reputation of the veterinary profession. Having regard to the serious aggravating factors [in this case], the Committee considers that the Respondent's conduct, taken as a whole, is so serious that removal of his professional status is the only appropriate sanction."
Accordingly, the Committee directed the Registrar to remove Dr Hutber's name from the Register.
The full details of the Committee's findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).
The British Equine Veterinary Association (BEVA) has released the results of a survey carried out earlier this year which has found that there may be up to 5 times as many veterinary graduates wanting to work in equine practice as there are jobs available.
The survey was carried out amongst the 2,500 vets and vet students who are members of BEVA to help ascertain manpower requirements of equine practices in the UK.
Of the 819 new veterinary graduates in the UK in 2012, BEVA says it estimates conservatively that between 10-15% intend to work in equine practice. Meanwhile, the extrapolated results of the survey suggest that in 2012 there was less than 1% growth in full time equine vet positions and as few as 24 new permanent jobs available in the UK.
BEVA says that in line with the survey's suggestion of restricted opportunities, some of its members are also finding that internships, commonly the domain of new graduates to gain paid, supervised experience in practice, are now often taken by vets with some post-graduate experience. Furthermore, unpaid externships, which traditionally gave vet students valuable work experience, appear to be being filled by unemployed veterinary graduates wanting to gain experience in order to improve their chances of securing a job in equine practice.
Tim Mair, a partner at Bell Equine Veterinary Clinic in Kent said: "Earlier this year we had more than 80 applications for just one internship. Several years ago we would expect 50 or so applications for an advertised intern post but now, without advertising at all, we are constantly receiving applications, not just from new graduates but also from those who have been qualified for a year or more."
Charlie Schreiber, a partner at Donnington Grove Veterinary Surgery in Berkshire, said: "We take on an average of two externs a month and over the past four years have had more than 350 applicants but their calibre is noticeably changing. We used to hear primarily from students but now it tends to be recent graduates or those who have already done a job in mixed practice and are keen to move into equine but can't find an internship."
Andrew Harrison, a partner at Three Counties Equine Hospital in Gloucestershire, said: "In addition to the numerous applications we received for our recently advertised internship position, we are inundated with unsolicited enquiries about job opportunities from recent veterinary graduates from across the globe. Our most recent advertisement for an equine veterinary nurse has attracted interest from a handful of recently qualified vets desperate to find work. This employment problem is not confined to internships; some of our recent interns have found it very difficult, if not impossible to find a job in horse practice, once they've completed their internship."
Amanda Piggot, a recent graduate, has first hand experience of the challenge of finding a suitable placement. She said: "I have always wanted to work in equine practice and my approach has been very strategic. It took me five months to find my current position at Kessock Equine Vets in Inverness, which necessitated moving 500 miles further north than I ideally wanted. For my next position I applied to Liphook twice and had no luck but I have now been accepted by Rossdales for a two year internship."
According to the British Veterinary Association (BVA) the problem isn't confined to equine practice. The Association's President Peter Jones said: "The findings of the BEVA survey make sober reading and reflect the growing concerns in the wider veterinary profession about opportunities for new graduates in all types of veterinary practice.
"The issue has recently been brought into sharp focus by the announcement of a new veterinary school opening at the University of Surrey in 2014, with many BVA and BEVA members worried about an oversupply of veterinary graduates into an already competitive market. We are expecting the results of the RCVS survey of recent graduates shortly and, alongside the findings of the BEVA survey, they will provide an evidence-base to build on as we continue to assess the UK veterinary manpower implications of potential new veterinary schools in the future."
BEVA is keen to help both potential employees and employers tackle the situation as constructively as possible. BEVA President Keith Chandler said: "BEVA is proud that equine practice is attractive to so many younger members of the profession and it can provide a rewarding and fulfilling career. However we urge all stakeholders to ensure that current and prospective veterinary students are fully aware of the very limited opportunities in equine practice. Most of all we urge the students themselves to consider carefully their career path and prospects before making their final decisions."
Next month the RCVS will be releasing details of a survey of vets who have graduated within the past five years and how easy they have found it to find a job that meets their needs.
Vets Now has produced a new set of guidelines for pet owners about how to deal with the top 10 emergency situations seen by the out-of-hours care provider.
The guidelines are presented as an infographic - which is free to download from the Vets Now website - which provides some basic steps to help owners deal with the more common emergency situations before being able to get their sick or injured pet to the vet.
Vets Now says it is hoping it will be deemed useful by other vets who are welcome to share the infographic on their social media sites and their websites, or display it in their waiting rooms.
Lisa Maxwell, Head of Client Care said: "Pet owners should always call a vet in an emergency and we promote that in the infographic. As emergency and critical care providers, we're used to dealing with owners who are scared, or in shock when they call us. What we hoped to achieve by creating the infographic, was to reassure pet owners that these situations happen all the time and to give them more sense of control of the situation. If more pet owners were aware of some of the basic actions they could perform at the scene, at the very least it could help owners cope more readily and keep their animals calm and, at best, it could save lives."
Lisa added: "These days, the fastest way to spread an important message seems to be through social media, so we've specifically designed this infographic to be shared on Facebook, Twitter, G+ etc, as well as practice websites.
"Our intention was to create a useful resource for practices across the UK - not just Vets Now clinics. If we all get behind this and make our clients aware, maybe we'll be going that extra mile by educating our clients and helping to save even more lives."
The infographic can be downloaded at www.vets-now.com/infographic
The RCVS has responded to the outcry sparked by the Disciplinary Committee striking off a veterinary surgeon that delayed an out-of-hours home visit to a dog that had been run over by its owner, a farmer.
The RCVS response addresses three main issues raised by the case:
However, the College has not yet responded to many of the other issues being debated, including:
For the full response, visit: http://www.rcvs.org.uk/news-and-events/news/response-to-feedback-on-recent-disciplinary-hearing/
Guidance for veterinary surgeons and veterinary nurses on client confidentiality and microchipping has been amended by the RCVS.
The amendments deal with situations when a client presents an animal registered in another person's name, and a new flow diagram has been added to provide additional practical advice for vets and VNs dealing with these types of situations.
Animals can be registered in a different name to that of the client for various reasons. For example, an animal may have been re-homed or sold, but the details on its microchip have not been updated; it could have been stolen; or, the owners may be involved in a civil dispute.
Veterinary surgeons in practice may be unsure what to do in these situations. The new guidance informs veterinary surgeons about their options and provides advice on client confidentiality and data protection issues.
The College advises that veterinary nurses employed by a veterinary surgeon or practice should discuss the issues with a senior veterinary surgeon in the practice before breaching client confidentiality.
The amendments apply to Chapter 14 of the supporting guidance to the RCVS Code of Professional Conduct. The supporting guidance and flow diagram are available at: www.rcvs.org.uk/confidentiality.
Vétoquinol - maker of Epiphen, the anti-epileptic phenobarbital for the control of epilepsy in dogs - has added a new client brochure and a fridge magnet to its Epiphen support packs, designed to help owners understand the condition and make it easier for them to comply with daily dosage requirements.
The new brochure is called What I need to know and is written for clients that have been prescribed Epiphen for their pet for the first time.
Abbie King, Product Manager for Epiphen, said: ''The inspiration for the new brochure came after spending time at the Animal Health Trust in Newmarket and realising how much information an owner needs to take in when their dog is diagnosed with epilepsy."
The new brochure covers the important information owners need to help them understand and manage their dog's epilepsy, including how Epiphen works, what they can do to help their dog, how to monitor seizures, where to find further information and frequently asked questions.
The Epiphen Treatment fridge magnet is designed as a quick reference guide to prescribing information that is needed every day when living with a dog with epilepsy. The magnet leaves space for the owner to write in their dog's name, dosage details and timings and their vet's phone number. Vétoquinol says it is especially helpful as a reference if more than one person is caring for the dog.
The new items enhance the existing Epiphen support pack, which comprises an owner manual, medication record and seizure diary, dog tags, seizure report pads, free serum level monitoring vouchers and a free, online resource at www.epiphenonline.co.uk
Vétoquinol also invites practitioners who are dealing with challenging cases to take advantage of its free Ask the expert scheme on 0800 169 8197 or email a case history to epiphen@vetoquinol.co.uk.
To order the new Epiphen support materials, ring 0800 1698197. Alternatively, visit: www.vetoquinol.co.uk to find out more.
The RCVS has published a list of 369 veterinary surgeons who missed the 31st May deadline for retention fee payments, were removed from the Register and not restored by 24 June, on its website.
The College says it publishes the list to alert those vets who have not replied to its communications to check their Register status, and to remind veterinary employers to check the registration status of their employees. The registration status of any vet or VN can be checked online at www.rcvs.org.uk/check-the-register.
Information about restoration, and an application form, can be found at www.rcvs.org.uk/registration, or by contacting the RCVS Registration Department: membership@rcvs.org.uk.
For a veterinary surgeon to be restored, a restoration fee needs to be paid, as well as the annual retention fee. The restoration fee is at least £299, and multiplies each successive year a removed member remains off the Register.
A veterinary surgeon's registration acts as a licence to practise and those removed from the Register may not practise unless and until they have been restored.
Feline charity International Cat Care (the charity formerly known as FAB) has teamed up with Digital Photographer and Your Cat magazine to launch a photography competition, 'Picture Purrfect Cats', which they are asking veterinary surgeons and nurses to help spread the word about.
The charity, which undertakes feline welfare projects across the globe, is looking for exceptional images of cats, celebrating their unique appeal under the following categories:
The winner will be chosen by a panel of judges including International Cat Care CEO Claire Bessant, Digital Photographer editor, April Madden, and Your Cat magazine editor Sue Parslow.
The first prize is a weekend safari break for two at Port Lympne Wild Animal Park, Kent, which includes tented accommodation overlooking a watering hole where a variety of African animals, such as zebras, giraffes and rhinos drink - offering plenty of magical photo opportunities. The winner also will be invited to attend International Cat Care's annual event at Altitude 360 in London, where their photograph will be exhibited and they will be presented with their prize.
International Cat Care CEO, Claire Bessant, said: "They say a picture conveys a 1,000 words, so we are hoping for some high quality images which shout to the world about the beauty of cats, and therefore why it's important to ensure they are looked after properly. Our welfare projects are international, working with both owned and unowned cats, pedigrees and moggies. We've reflected this in our categories and are hoping for some very varied entries. Please visit our Facebook page and enter or have a look at our growing gallery of feline photographs and vote for your favourite."
Runners up from each category will receive a framed A3 print of their winning photograph, along with official merchandise from the charity. Young photographers, ages 12 - 17 years, can win a Samsung Galaxy Smart WiFi Compact Digital Camera.
You can help support the competition by tweeting or e-mailing this link to your clients: www.facebook.com/internationalcatcare. Alternatively, add it to your practice website or your newsletter. It'll be fun if one of your clients wins.
The deadline for the competition is 16th August 2013.
The RCVS has announced that the first members of its reconstituted Disciplinary and Preliminary Investigation Committees have been appointed and will join the Committees from July 2013.
Beverley Cottrell and Catherine Goldie (pictured right) have been appointed to the new Disciplinary Committee (DC), and are retiring as elected veterinary surgeons on Council to take up the posts. Veterinary surgeons Jane Downes and Charles Gruchy, and lay members Stuart Drummond, Ian Green, Chitra Karve and Mehmuda Mian, will also join the DC.
The new Preliminary Investigation Committee (PIC) members will include veterinary surgeons Andrew Ash and William Reilly, plus lay members Penny Howe, Sarah Pond and Elana Tessler.
These new appointments result from a legislative reform order (LRO) made to separate the RCVS disciplinary committees from the RCVS Council. The Royal College says this will improve the independence of the disciplinary process and bring it into line with regulatory best practice.
The LRO came into force on 6 April 2013, and amended the Veterinary Surgeons Act 1966 (VSA). The VSA now requires that the RCVS PIC and DC are made up of veterinary surgeons and lay members who are not RCVS Council members, and who are appointed independently. The change to the legislation ensures that the same group of people is not responsible for setting the rules, investigating complaints, and adjudication.
The LRO also brings lay people formally into the PIC and will increase the pool of people available to investigate complaints and sit on disciplinary hearings.
RCVS Registrar and Head of Legal Services, Gordon Hockey said: "The LRO fundamentally improves the way the veterinary profession is regulated, and will help to ensure public confidence in our disciplinary processes. I am delighted by the constructive and collaborative working relationship that we had with Defra and the British Veterinary Association (BVA), which has allowed this major reform to be introduced."
To make these appointments, a long-list of lay and veterinary surgeon candidates was put together by recruitment consultants, and a shortlist was referred to an independent selection committee chaired by Sir Michael Buckley and including Christopher Laurence and Dr Joan Martin. The selection committee's choices were then ratified by RCVS Council at the June 2013 meeting.
As part of a transition phase, both committees will also include some Council members; after a two-year period, members of RCVS Council will become ineligible for membership of either committee.
Norbrook Laboratories has announced that Pestigon for Cats, the company's fipronil spot on solution against fleas and ticks, has been granted an extension to its licence which means it is now indicated against the Ixodes ricinus tick.
Previously, the cat product was only indicated for Dermacentor reticulatus.
The Pestigon dog spot on offers efficacy against the Dermacentor reticulatus, Rhipicephalus sanguineus and the Ixodes ricinus tick.
Michelle Jones, Norbrook's Small Animal Brand Manager said: "The extension of our licence for Pestigon in Cats is welcome news. The Ixodes ricinus tick is one of the most common ticks found in the UK. Pet owners need to be aware that choosing a treatment that kills ticks as well as fleas is vital, with ticks potentially spreading diseases such as lyme disease. We are therefore delighted that our Pestigon range now gives cat owners even more protection against fleas and ticks."
Michelle added: "Pestigon is only available through veterinary practices which means that pet owners have to visit their practice to purchase this flea and tick treatment. They can therefore receive expert advice at the point of purchase and discuss any concerns they may have."
Pestigon spot on is available from all wholesalers in packs of 3, 6 and 24. Norbrook also makes a household spray, Permaguard, and a range of customer support materials available from Norbrook Territory Managers.
Image: Ixodes ricinus Richard Bartz
VetSurgeon.org has joined forces with referral practitioner Alex Gough to conduct a survey into the profession's attitude to the use of homeopathy in animals.
Whilst the debate continues to rage over its use in human medicine, this is believed to be the first time that there has been a survey of opinion within the veterinary profession.
Alex Gough said: "This should give us an interesting insight into how practitioners feel about one of the more well-known systems of alternative medicine. That in turn may add something to the broader debate outside the veterinary profession."
Arlo said: "We really need as many veterinary surgeons as possible to take part, in order to get the most accurate picture. There are only 8 questions, and it should take less than a minute."
Click here (veterinary surgeons only), to take part in the survey.
A new study published this month in the Equine Veterinary Journal (EVJ)1 has concluded that toxins from the seeds of the sycamore tree (Acer pseudoplatanus) are the likely cause of Atypical Myopathy (AM) in Europe.
However, to avoid confusion, the authors of the study point out that the American Sycamore (also just called 'the sycamore' in the USA), is a completely different species: Platanus occidentalis. Furthermore, the sycamore found in the UK is also known as the sycamore maple in other countries.
The new research follows on the heels of a study in the USA earlier this year that linked toxins from the box elder tree (Acer negundo) with Seasonal Pasture Myopathy (SPM), the US equivalent of AM2. The discovery marks an important step for the future prevention of this fatal disease.
Atypical Myopathy is a highly fatal muscle disease in the UK and Northern Europe. In ten years, approximately twenty European countries have reported the disease. Incidences tend to occur repeatedly in the autumn and in the spring following large autumnal outbreaks. Horses that develop AM are usually kept in sparse pastures with an accumulation of dead leaves, dead wood and trees in or around the pasture and are often not fed any supplementary hay or feed. SPM is a very similar disorder, prevalent in Midwestern USA and Eastern Canada that is now known to be caused by the ingestion of hypoglycin A, contained in seeds from the box elder tree.
The new European research1 was conducted by an international team led by Dominic Votion, University of Liege and involved 17 horses from Belgium, Germany and The Netherlands, suffering from Atypical Myopathy. High concentrations of a toxic metabolite of hypoglycin A, were identified in the serum of all of the horses. The pastures of 12 of the horses were visited by experienced botanists and the Acer pseudoplatanus, the sycamore maple, was found to be present in every case. This was the only tree common to all visited pastures.
Researchers believe hypoglycin A is the likely cause of both AM in Europe and SPM in North America. The sycamore and the box elder are known to produce seeds containing hypoglycin A and the pastures of the afflicted horses in Europe and the USA were surrounded by these trees.
Hypoglycin-A is found in various levels in the seeds of plants in the genus Acer as well as in various other genera in the family Sapindaceae such as ackee (Blighia sapida). In ackee, hypoglycin-A levels do vary with ripeness of the fruit and, if the fruit is eaten before it is mature, it causes hypoglycaemia to different degrees including a condition called "Jamaican vomiting sickness" (because of ackee's use in Jamaican cooking) and occasionally death in humans.
Researchers at the Universities of Minnesota2 and Liege are continuing their work to try to uncover exactly how the equine disease occurs. Dr Adrian Hegeman of University of Minnesota said: "It is likely that the most important contributing factors to horses becoming poisoned by hypoglycin-A are the availability of seed in the field combined with lack of other feeding options. The seeds from two species of maples (box elder and sycamore maples) that we have tested include significant quantities of hypoglycin-A.
"We know that seeds contain highly variable quantities from seed to seed, even within a single tree. We do not know yet how hypoglycin-A levels vary seasonally, nor do we know how its abundance varies with different levels of stress to the plant, though this may well explain seasonal variability in the occurrence of the malady. It is possible that conditions that stress the plants may contribute to significant seasonal changes in hypoglycin-A levels. At this point we just don't know. It is common held knowledge that trees under stress usually produce more seed."
Dr Jeff Gillman of University of Minnesota said: "Without question, further analysis of the seeds and other tissues from Acer species needs to be performed along with sampling of plant materials over multiple seasons and at various stress levels. Additionally, one cannot rule out more complex explanations for the seasonality of disease occurrence such as: animals may begin feeding on seed materials in response to depletion of more palatable choices under drought conditions; or simple explanations such as high wind events driving seeds into fields. These sorts of explanations for the occurrence of the disease do not depend on botanical variations in toxicity across seasons, sites or stress levels, yet also require consideration.
"Although limited examples are available, the experience of animals at a pasture site might also confer some degree of behavioral resistance to poisoning due to exposure at sub-lethal levels with prior exposure to seeds in the pasture."
Professor Celia Marr, Editor of Equine Veterinary Journal said: "This is an important advancement in our understanding of what causes AM and how it can be prevented. In immediate practical terms owners can take prompt measures to avoid exposing their horses to sycamore seeds this autumn. Where horses are grazing in the vicinity of sycamore trees, it is imperative that they are provided with sufficient supplementary feed as this will minimise the risk that horses might be tempted to ingest seeds containing this toxin. This must be done carefully and leaving wet hay on the ground should be avoided so providing extra carbohydrate feeds may be more practical."
References
The RCVS Disciplinary Committee has struck off the Register a veterinary surgeon who delayed attending a dog that had been run over at a farm, causing her to suffer unnecessarily.
Following a two-day hearing, the Disciplinary Committee found Munhuwepasi Chikosi guilty of unreasonably delaying attending Mitzi, a fourteen-and-a-half-year-old Labrador cross, and of unnecessarily causing her to remain in pain and suffering for at least an hour.
On 9 September 2011, Mr Chikosi had been working as a locum veterinary surgeon at the Vets Now out-of-hours emergency service in Barton-le-Clay, Bedford, when Mitzi's owner telephoned him to say that his dog was severely injured and to request a home visit for the purpose of euthanasia.
At Mr Chikosi's request, the owner attempted to bring Mitzi into the practice using a blanket. However, it was not possible to get Mitzi into a Land Rover, and she uncharacteristically bit the owner's son, so her owner called the practice again.
Mr Chikosi repeated the request to bring the dog in, saying that he was unable to leave the practice because he was looking after other animals, but that he could possibly organise another veterinary surgeon to visit "probably within the next hour or two".
The Committee considered Mr Chikosi's actions in context of the RCVS Guide to Professional Conduct 2011, which listed a number of factors for veterinary surgeons to consider when deciding whether to attend an animal away from the practice premises.
These included the likely treatment needed, the possibility of the animal being safely conveyed to the veterinary surgery, the health status of the animal and ability of the owner to manage the animal's pain until veterinary attention could be sought during normal hours, and travelling time for the veterinary surgeon.
However, the Committee found Mr Chikosi had made no enquiries to determine whether Mitzi was in a fit condition to be moved, and offered no advice as to how her condition could be alleviated whilst waiting for the home visit. Further, his advice that Mitzi should be moved on a blanket was wrong, as she may have had an injured back.
The Committee concluded that, from the outset, Mr Chikosi took the stance that he was unable to leave the practice because he was the only veterinary surgeon present.
However, the Committee noted, from the information available, that there were only three in-patients, no critical cases and a qualified veterinary nurse was present. The Committee found there was no good reason why he should not have attended the farm, which was only 10 to 15 minutes' drive away.
The Committee said that, by the time Mitzi's owner called a second time, it was clear that the out-of-hours service was experiencing difficulty finding a second veterinary surgeon but, instead of going to the farm himself, Mr Chikosi waited another hour until the second veterinary surgeon arrived at the out-of-hours service.
Professor Peter Lees, chairing and speaking on behalf of the Committee said: "The Committee is satisfied that the delay caused Mitzi unnecessary suffering, which was evidenced by her uncharacteristically biting [her owner's] son. [Her owner] had recognised the severity of the injuries and the need for euthanasia as soon as was practicable. [Mr Chikosi's] failure to attend a seriously injured dog promptly in the circumstances described falls far short of the conduct to be expected of a reasonably competent veterinary surgeon."
He directed that Mr Chikosi's name be struck off the Register.
A new study of 1,000 children aged between nine and 10 years old, conducted by Mars Petcare in conjunction with the Waltham Centre for Pet Nutrition and The University of Liverpool, with partners Liverpool John Moore's University and Liverpool City Council, has revealed the depth of the bond between children and their pets.
The research revealed that:
The research looked at the ownership of a range of pets - including dogs, cats, rabbits, rodents, horses and fish - and revealed that more than 50% of children consider their dog to be their "favourite" pet, followed by cats (15%).
The research also looked at the impact that pets have on children who do not have siblings, showing a strong attachment between single children and their pets. Lead researcher Dr Carri Westgarth from the University of Liverpool's Institute of Infection and Global Health said: "In the absence of siblings, pets offer children the chance to care for and nurture others; a vital skill in a child's learning and development. The youngest siblings in a family also had stronger attachment to their pets which can be attributed to a lack of younger, more dependable siblings to care for. "
Dr. Sandra McCune, Scientific Leader for Human - Animal Interaction at WALTHAM, said: "Pets play a crucial role in the development of children; allowing them to socialise, care for and nurture others. This is particularly important for children who do not have siblings to learn from and play with, and for the youngest siblings in the family who do not have a younger, more dependable sibling to care for. Children often yearn to own a pet and the developmental impact that they have for kids is significant. Not only are they good in terms of exercise and responsibility, but also helping children understand relationships. Playing, taking care of and talking to animals can have a really positive impact on a child's development."
Bimeda has announced the launch of a new teat seal which the company claims offers a significant return on investment and an opportunity for veterinary surgeons to prompt farmers to re-evaluate their dry cow therapy and mastitis control.
Bimeda's vet and head of technical services, Padraig Hyland MVB said: "Boviseal is proven to dramatically reduce mastitis in the 100 days post calving¹. Adding competition to the market will encourage farmers to re-assess their dry cow and mastitis strategies.
"The UK launch of Boviseal is a great opportunity for vets to raise the issue of the damage and cost of mastitis, and the potential savings by the correct use of a seal. Boviseal is the number one selling teat seal in the Republic of Ireland, with 2/3 of the Irish dairy cows sealed annually²."
Padraig says the evidence of the value from combined sealing and antibiotic therapy is all too clear when it comes to dry cow therapy. He cites a case study at Waterwheel Farm in Donegal, Ireland which delivered a 300% return on investment: "Combined therapy might sound costly but this two year study saw annual mastitis cases fall dramatically, from 26 per 100 cows to 9 per 100³.
"Defra figures indicate that mastitis is the most costly disease problem that UK dairy farmers face, with a typical case costing £175.00 4. When you compare that against the cost of treatment for the herd, there's no real counter argument in my opinion."
Boviseal contains 65% Bismuth Subnitrate. Padraig says the effectiveness of teat sealing is proven but correct administration is key: "It is important to note that the conventional practice of massaging into the udder after infusion is not employed - the teat seal must stay in the teat canal."
For details on best application practices, the company has developed a website, www.boviseal.co.uk with a video demonstration for correct infusion.
For further information, visit the website or contact Bimeda on 01248 725400.
Equine vets at the Animal Health Trust are appealing to horse riders to help with a research project, to assess the interaction between horse, saddle and rider.
Dr Sue Dyson, Head of Clinical Orthopaedics at the Centre for Equine Studies at the Animal Health Trust and Line Greve, PhD student, are conducting the study to find out how the horse, rider and saddle can influence each other. They are trying to understand better why a saddle may persistently slip to one side in some horses.
Line said: "Saddle slip is a problem seen in all sorts of horses and ponies and can contribute to back pain and thus impaired performance. Research suggests that 25% of British dressage horses have a history of back-related problems and subsequent reduced performance. Our preliminary studies involve just over 700 riders but for a more accurate picture we would like to bump this figure up to 1000 plus. We are urging all riders, whatever their level or ability, to help by completing the questionnaire."
The online questionnaire should take no more than 15 minutes to complete and all answers remain anonymous. The questions cover saddle types, fitting, use and maintenance; rider experience, training and 'handedness'; as well as horse type, use and any previous lameness or back-related problems.
To take part in the study, complete the questionnaire here: http://www.aht.org.uk/cms-display/premise_questionnaire.html. The AHT says that by doing so, you'll be helping to protect and improve the future health, welfare and longevity of the ridden horse.
The results will be presented at the Saddle Research Trust Conference in 2014.
Davies Veterinary Specialists, the small animal referral hospital based at Higham Gobion in Hertfordshire, has reported treating four cases of serious lungworm (Angiostrongylus vasorum) infection over the past couple of months, all within around 30 miles of each other.
The practice says it usually sees only two or three lungworm cases a year, at most. It is thought that the increase in cases could be the result of a lack of knowledge amongst some owners about the right wormers to use, as well as the fact that lungworm appears to be getting a stronger foothold in some areas, possibly due to factors such as climate change.
One of the cases referred to DVS was a Cocker Spaniel called Honey belonging to Irené O'Hanlon-Marin from Beaconsfield. Vets initially believed the dog's symptoms of neck pain, breathlessness, shaking and lethargy to be the result of a recent head injury. Serious alarm was raised when Honey appeared to suffer a fit three weeks later, became unable to walk and lost her vision in one eye. She was immediately referred to DVS as an emergency.
Peter Smith, Neurology Specialist at DVS, said: "Honey was in a pretty serious condition when admitted here and would, I suspect, have died if she'd been left another few hours. She's now back home and much improved, and appears to be regaining her sight."
Irené O'Hanlon-Marin said: "It scares me to think how little I knew about lungworm and the fact that I need to use a specific wormer for it. We have been so lucky with Honey but I am determined to help prevent other dogs going through what she suffered so we all need to help spread the word about the dangers of this parasite."
The other three cases referred to DVS were from High Wycombe, Pinner and St Albans. The practice reports that all patients have recovered well.
Chanelle has announced the launch of Ketamidor 100 mg/ml Solution for Injection (ketamine), licensed for use in cats, dogs, horses, cattle and swine in the UK and Ireland.
The company says the new product provides a versatile addition to anaesthetic regimes. It can be used in combination with other widely-used anaesthetics and sedatives. Chanelle says it also has analgesic properties that make it particularly beneficial to include in anaesthetic protocols when carrying out painful surgical procedures.
Ketamidor 100mg/ml Solution for Injection has a zero day withdrawal period for milk and meat when used in cattle and pigs, allowing high welfare standards to be maintained without compromising economic returns.
According to Chanelle, ketamine is now experiencing a resurgence of interest as its analgesic properties and minimal impact on spontaneous respiration become increasingly appreciated.1
Angela Wilkin, Chanelle UK's Sales and Marketing Manager said: "Ketamidor makes a great addition to our portfolio of pain management products. Our territory managers are looking forward to speaking to those vets who are already accustomed to using ketamine and those that may be considering adding it to their current protocols."
Reference
Zoetis, maker of Zylexis, is highlighting a new review published in Veterinary Immunology and Immunopathology, which has concluded that immune-modulators may provide a valuable contribution to the reduction of some equine respiratory diseases
The study reviewed the immune-modulators Parapoxvirus ovis and Propionbacterium acnes for the prevention of respiratory disease and other infections in the horse.
Parapoxvirus ovis (iPPVO) and Propionibacterium acnes (P.acnes) are currently used in equine medicine as immune-modulators for prophylactic treatment or adjunct to conventional therapy in order to improve immune defences, to prevent or treat infectious diseases. Their mode of action relies on a non-antigen-specific interaction with the innate and/or adaptive immune responses. iPPVO stimulates and regulates cytokine secretion by a number of leucocytes, while P. acnes acts primarily through activation of macrophages.
The review, conducted by Romain Paillot of the Animal Health Trust, Centre for Preventive Medicine, Newmarket, examined current scientific literature and reports on the use of immune-modulators in horses, particularly for the prevention or treatment of equine respiratory disease.
Stress factors such as weaning, transport and co-mingling predispose horses to infection and increase susceptibility to respiratory pathogens such as Streptococcus zoopidemicus and EHV-1/4. In the past 15 years iPPVO has been tested against several equine infectious respiratory diseases.
The review examined the results of studies on the beneficial use of iPPVO to limit the severity of respiratory infectious diseases in young horses, one of which evaluated the use of iPPVO for protection in yearlings exposed by contact challenge to EHV-1 or EHV-42,3,4. Yearlings treated with iPPVO were co-mingled with horses experimentally infected with EHV-1 and the trial was repeated with horses infected with EHV-4. Horses treated with iPPVO showed a 40% reduction in disease severity in the EHV-1 study and a 61% reduction in the EHV-4 study.
Further studies showed significantly increased frequency of recovery in horses with clinical signs of respiratory disease that had been treated with P. acnes. The decrease in disease severity was also significantly improved in the treated groups5,6.
Romain Palliot concluded: "Non-specific immune-modulators such as iPPVO or P. acnes may not provide protection against direct infection or transmission of respiratory pathogens but they seem to contribute to the reduction of the disease severity, subsequently reducing the frequency of complications and improving the rate of recovery."
Vets4Pets has announced the opening of its 220th joint venture practice, together with a TV advertising campaign to support the growing business.
The 220th practice, opened with veterinary surgeon Lisa Bensley, is part of what the company describes as a 'healthy schedule of openings over the next few months', including two Companion Care practices in Pets at Home stores by mid June.
Lisa said: "I wanted to open my own practice so that I could to offer the standard of care I would want for my own pet. There are always so many frustrations when working for someone else in their practice.
"I really feel that Vets4Pets and Companion Care practices are the future, people are looking for a step up in veterinary care and services which I feel we can provide. It is so much more affordable than you would think and getting that business loan and the whole journey is made so easy. There is always someone on the end of the phone who will help with any problem and you are supported by so many people, experienced in their specific fields, covering any area you may need in your business ".
The television campaign (see below), which is running throughout June and July, focuses on 'Bug Packs' which are offered to all Vets4Pets clients and include 12 months vet recommended parasite treatments with 25% off.
Leigh-Anne Brown, Partner at Vets4Pets Harrogate and Chair of the Vets4Pets Professional Services Board said: "The reason we can manage to provide such a great deal is because of our size and an excellent commercial relationship with our suppliers which enables us to offer the discount. Now that Bug Pack has taken off we have the media buying power to advertise on national TV while our Online Marketing Team can even promote the package and sell the service online and the Local Marketing Team continue to implement the campaign on a more local level around each practice's community."
For more information about opening a Vets4Pets joint venture practice, call 0800 0280 513 or email partnership@vets4pets.com
Village Vet is set to become the first veterinary group to have its clinics recognised as 'Cat Friendly' under the International Society of Feline Medicine's (ISFM) WellCat For Life programme, sponsored by Purina.
Working in partnership with Purina, each clinic is undergoing a bespoke 'moggie makeover' to help make visits as stress-free as possible for cats and their owners.
Founder of Village Vet, Brendan Robinson said: "We understand how stressful trips to the vets can be for both our feline friends and their owners. Cats account for 45% of our client base, so it is our goal to make visits to our practices as relaxed and stress-free as possible.
"The Hampstead practice, for example, is introducing a specialist cat ward situated well away from the sight and smell of dogs, with large, glass-fronted kennels that cut down noise and keep the cats hidden from each other.
"Another important change is the introduction of dedicated 'feline advocates' across each practice whose role is to 'think cat' and maintain the gold standard cat care. Front of house staff are also being trained to help owners make their cat as comfortable as possible in the waiting room, by directing them to the cat only waiting areas and offering towels to cover the baskets so cats feel safe and secure."
To help implement the changes, Purina has funded and organised practice visits with feline specialist Andrea Harvey. During her time with Village Vet, Andrea visited each practice to help train the 'feline advocates' and run workshops with vet nurses and front of house staff.
Rea Johnston from the Maida Vale Village Vet has been appointed as a 'feline advocate'. She said: "Here at Village Vet, we have always understood the importance of catering to cats' specific needs. But Andrea really helped inspire the team to think of practical changes that could make a real difference to our clients and their pets. Our support staff now have much greater confidence and it's making a big difference to our clients."
Claire Bessant, CEO at ISFM said: "As territorial animals, cats can become stressed as soon as they leave their home, so by the time they get to the vet practice they can be extremely anxious. This stress can manifest itself physically, which in extreme cases can affect diagnosis of certain conditions.
The Cat Friendly Clinic self-assessment scheme is open to any veterinary clinic that deals with cat patients. It lays out numerous requirements regarding the design, equipment and facilities within the clinic. Importantly, it also covers the quality of care provided to cats, the level of understanding of cats and their needs in the clinic, and interaction between the clinic and cat owners.
Reaching a gold or silver standard allows practices to display the Cat Friendly Clinic logo. For more information, visit: www.wellcat.org.
Plimsoll has published the results of a study into the profitability of UK veterinary practices which has revealed a widening gap between firms making outstanding profits and those losing money.
The Plimsoll Analysis found average profit margins have fallen to 6.4% of sales and 151 of the UK's top 500 practices are now running at a loss. However, the same study has revealed 61 businesses are making record profits.
Of the 61 'rich' companies:
Of the 151 'poor' companies:
David Pattison, senior analyst at Plimsoll, said: "Sometimes the public perception of profit is wrong. It's seen as companies taking advantage of their position or exploiting their commercial advantages unfairly. But these successful companies should be proud of their achievements. In an industry not known for its successes, these businesses should act as benchmarks to the rest of the industry showing what can be achieved."
Mr. Pattison added: "The latest Plimsoll Analysis highlights that the industry is being split into two types of company and the gap between the rich and the poor is getting bigger and bigger.
"For the companies that are falling behind, they need to re-evaluate their strategy and retain profit in order to improve their financial strength."
The Plimsoll Analysis provides an individual profile of each of the UK's top practices. It offers an overall financial rating, a valuation and an acquisition attractiveness assessment on each company. VetSurgeon.org members can have a £50 discount off this report by calling 01642 626419 and quoting reference PR/AA54.
For more information, contact Chris Glancey on 01642 626 419, or email c.glancey@plimsoll.co.uk