Purina says the foods contain adjusted and graded levels of protein and phosphorus to address the delicate balance of providing needed protein in older cats against uraemic toxin production in late phase renal decline.
The current advice is that phosphate should be restricted when the renal patient has confirmed CKD, and IRIS provides therapeutic serum phosphate targets for each stage.
Dr Ellie Groves BA(Hons) VetMB MRCVS, Purina Technical Manager for the UK and Ireland, said: “As obligate carnivores, cats have a high requirement for protein, however, around 20% of senior cats have decreased ability to digest protein, and so are absorbing less protein.
"An inadequate intake of protein leads to loss of lean body mass as muscle is catabolised to meet this need.
"We know that this loss of lean body mass is significantly correlated with an increased risk of mortality.
"But we need to be careful – in renal disease, there is the potential for protein breakdown products to increase in the circulation, acting as toxins.
"So, we need to fine-tune the amount of protein, depending on the stage of chronic renal insufficiency (CRI).
"A dual approach, with Early and Advanced products, allows tailoring of protein levels.”
“Alongside protein, phosphorus content is also tailored to the stage of kidney decline.
"Restricting phosphorus can slow the progression of chronic kidney disease by reducing morphological damage to the kidneys and is thought to be the most important influencer of survival in cats with CKD.
"The levels of phosphorus in the products, are tailored, alongside the protein, to reflect the needs of the cat, with increased restriction when cats are in advanced decline and the kidneys are struggling most.”
NF Renal Function Early Care is available in a dry format (1.5kg) and a pouch (tender pieces with chicken 85g).
NF Renal Function Advanced Care is available in 1.5kg and 5kg packs of dry food, and ‘wet’ options of tender pieces with chicken/ salmon (85g pouches) and a mousse (195g can).
Both diets are now available in veterinary wholesalers.
The one day course for general practitioners will be presented by Dr Sonya Miles, an RCVS Recognised Advanced Practitioner in Zoological Medicine and lead clinician for Highcroft Exotic Vets (an RWAF Gold accredited practice).
It's worth 7.5hrs of CPD. Sonya will be covering:
This course costs £250 and includes lunch, tea/coffee/biscuits, and a certificate of completion.
Apparently there are acres of parking. For those not able to attend, www.justexotics.co.uk has an extensive library of free content including: fact sheets, care sheets, protocols and “How to” videos covering exotic mammals, reptiles, birds, amphibians, fish, invertebrates and British wildlife, as well as a constantly expanding catalogue of webinars covering these species.
Virbac is running a promotion through which practices can claim a model showing the anatomy of a healthy dog ear canal on one side, and the changes associated with chronic damage on the other.
Product Manager Chris Geddes MRCVS said: "The models are about 15cm high and provide a useful visual aid to show clients the consequences if chronic ear disease is not kept under control. They can also be used to help show clients how to administer their pet's treatment correctly.
"These models will be a useful tool for practices to help improve client compliance. Also, we know that some dog owners find a course of ear treatments tricky, and either give the wrong dose or give up altogether, which is why we designed EasOtic to dispense the exact dose in one simple 'squirt', with one complete course in each bottle".
For details of how you can obtain a model for your practice contact your local Virbac territory manager or call Virbac on 01359 243243.
Dr Crespo appeared in front of the Disciplinary Committee earlier this week with two charges against her. The first was that, in November 2015, she dishonestly and falsely made an online representation to the College that she had no criminal convictions, cautions or adverse findings despite having been convicted, in January 2015, of failing to provide a specimen of breath. The second charge against her was that, in March 2016, she once again dishonestly and falsely failed to declare her conviction when renewing her registration.
During the hearing the Committee had two main considerations in respect of both charges – as to whether Dr Marin Crespo had been dishonest in failing to declare the conviction and as to whether the respondent ought to have known that her representations were false. Regarding the dishonesty element, the Committee found the College had not sufficiently proven this, as it accepted Dr Marin Crespo’s evidence that she did not believe she needed to declare a motoring-related offence as it was not relevant to her professional practice.
However, the Committee found it proven that the respondent ought to have known that the representations were false, taking into account that Dr Marin Crespo made admissions that she ought to have checked the guidance on declaring convictions, cautions and/or adverse findings and ought to have been aware that making such declarations is a requirement of the RCVS Code of Professional Conduct.
Having found the parts of the two charges relating to false representation proven, the Committee then considered whether this constituted serious professional misconduct.
Judith Webb, chairing the Committee and speaking on its behalf, said:"The Committee considers that the false declarations made by the respondent were born of a careless disregard for the disclosure process. The Committee notes that the respondent could easily have checked online, and/or by telephone, as to what she was obliged to do when making the relevant declarations. She failed to do that.
"In these circumstances, the Committee considers that the respondent’s conduct fell far short of that which is to be expected of the veterinary profession. Therefore, in the judgement of the Committee, on the facts found proved, the respondent is guilty of disgraceful conduct in a professional respect."
In considering Dr Marin Crespo’s sanction the Committee took into account a number of mitigating factors including her full cooperation with the College’s investigation, her hitherto unblemished career, her testimonial evidence which it felt demonstrated her dedication and professionalism, and the fact that she has displayed remorse and insight into her conduct.
Judith Webb concluded: "The Committee notes that the respondent’s conduct caused no harm, or risk of harm, to animals or humans. The Committee also notes that there is no charge arising out of the criminal conviction itself. The Committee considers that, if the respondent had answered the online questions correctly, it is unlikely that the respondent would have appeared before the Committee.
"Every veterinary surgeon must ensure that they adopt a careful and accurate approach to the self-certification exercise, which is crucial if the public and the College are to have trust in that process. In these circumstances, the Committee considered that the proportionate sanction in this case is that the respondent be… reprimanded for her conduct."
330 people who took part in the survey were presented with a list of management and leadership skills. Those of the respondents who are leaders were asked to rate their confidence in applying the skills, whilst those in non-management positions were asked to rate their line manager's skills. Both sets of respondents were also asked to place the skills in priority order.
The management skills were: Setting clear tasks and objectives. Providing clear roles and responsibilities. Communicating clearly and effectively. Monitoring and evaluating. Planning and organising. Effectively managing difficult situations.
The leadership skills were: Providing rationale and explaining why. Regularly providing and seeking feedback. Building trust. Providing guidance and training. Creating development plans and opportunities.
Interestingly, the survey found a close correlation between how the leaders and the employees prioritise these things, with management skills being perceived as more important overall than leadership skills.
Communicating clearly and effectively was deemed the most important skill of all (ranked 9 out of 10 by both groups). Meanwhile, creating development plans and opportunities for others was prioritised the least (ranked 3.7/10).
But hang on a moment. If both the managers and the employees agree that creating development plans and opportunities is the least important thing, then surely it is? In other words, if employees say that creating development plans is unimportant, then surely it is unimportant, and if leaders think the same, they would appear to be right.
Maybe, maybe not. Perhaps employees don't know what's good for them, and leaders don't know what employees don't know what is good for them. If you take my point.
Veterinary leaders were then asked to rate their confidence in applying the listed leadership and management skills. The skills which elicited the largest number of 'not confident' responses were: monitoring and evaluating performance, regularly providing and seeking feedback, and creating development plans and opportunities for others.
The skills with which leaders were most confident were: communicating clearly and effectively, building trust, and providing rationale and explaining why.
Again, there was a close correlation between prioritisation of these skills and confidence levels.
VMG Vice President Richard Casey said: “The survey has helped us to identify priorities for learning and development both at our 2020 Congress and during our joint CPD programme next year. It is striking that the very skills required to motivate colleagues to remain in veterinary medicine and to support them in doing so are the ones which so many veterinary leaders admit that they lack confidence. Given the challenges the profession faces, it is also concerning that they appear to be undervalued both by veterinary leaders and the team members who report to them.
"Delegates to SPVS-VMG Congress and our other 2020 CPD events will benefit from a wealth of evidence-based lectures from experts on all aspects of veterinary leadership and management, enabling them to improve their own performance and contribute to an overall raising of standards of leadership and management across the veterinary sector."
Peter Brown, Senior Vice-President of SPVS, said: "We know that veterinary students receive an excellent clinical training and, in recent years, universities have started to include more non-clinical skills on the curriculum. However, these results suggest that when professionals move into more senior roles, be it leading a team or running their own practice, they find they still need to acquire new skills. SPVS’ role has always been to equip veterinary professionals to be effective leaders and SPVS-VMG congress is an excellent opportunity to both hear inspiring speakers and meet and learn from fellow leaders within the profession."
The VMG-SPVS 2020 joint Congress takes place from 23-25 January at the Celtic Manor Resort, Newport, and will feature dedicated streams on effective leadership, management mastery, practice profitability, preparing for a digital future and sustainability in practice.
Details on the VMG-SPVS 2020 CPD Programme can be found here: https://spvs-vmg-events.co.uk/cpd-events/
The RCVS Disciplinary Committee has accepted an application for restoration to the RCVS Register by Gordon Lonsdale, who had been struck off in March 2004 for illegally delegating acts of veterinary surgery to insufficiently qualified members of his practice staff.
At the initial Inquiry, Mr Lonsdale, who formerly worked as a sole practitioner in Shropshire, had admitted three separate charges of serious professional misconduct. These included allegations that he had instructed nurses and support staff to undertake dental extractions, dog and cat castrations, the removal of tumours or masses, the induction and maintenance of anaesthesia, lancing abscesses and suturing wounds.
At yesterday's hearing, the onus was on Mr Lonsdale to satisfy the Committee that he was fit to be restored to the Register, not least in view of his former health problems and the eight-year period for which he had been off the Register.
He provided the Committee with evidence of undertaking continuing professional development, including 130 hours of online courses and seven weeks of seeing practice, letters of endorsement from former clients and testimonials from friends and former colleagues.
The Committee accepted Mr Lonsdale's evidence that he had successfully addressed his alcoholism, which it recognised as being a contributory factor to his poor decision making in an isolated working environment. He assured the Committee of his intention that, should his application be successful, he intended to work only in a multi-handed, rather than single-handed, practice in future.
The Committee found him to be an honest and frank witness who had made a credible attempt to refresh his small animal practice knowledge; it was satisfied that he accepted the findings of the original hearing and that he had put the welfare of animals at risk, and it noted his expression of remorse.
In considering Mr Lonsdale's application, the Committee made a number of recommendations, including that he should register for the RCVS Professional Development Phase, undertake certain parts of the RCVS Certificate in Advanced Veterinary Practice, restrict himself to his recognised areas of competence, investigate communication courses run by the Veterinary Defence Society and continue with the mentoring programme provided by the Veterinary Surgeons Health Support Programme. Mr Lonsdale stated that he was willing to follow all of these recommendations.
Professor Peter Lees, who chaired and spoke on behalf of the Disciplinary Committee, concluded: "In these circumstances, we do not consider that any further period of erasure would be of benefit either to the public or the veterinary profession. Therefore, we direct the Registrar to restore Mr Lonsdale's name to the Register."
The case studies were developed by the RCVS Standards Committee and use a variety of examples of where miscommunication between a client and the veterinary practice can lead to an inadequate level of consent being gained for procedures and treatment, including euthanasia.
Examples include damaged teeth being removed during a clean and polish dental procedure without the owner’s express permission and not giving the full range of options available in the case of a dog with an osteosarcoma.
The case studies follow the Standards Committee approving changes to chapter 11 (‘Communication and consent’) of the supporting guidance to the RCVS Code of Professional Conduct in January 2018 to give further advice on how to discuss informed consent with clients, who can be responsible for gaining consent for a procedure and additional guidance on consent forms.
Dr Kate Richards MRCVS, Chair of the RCVS Standards Committee, said: "We hope these case studies will prove useful to practitioners who are having to deal with the complexities around making sure that procedures are fully explained to ensure informed consent is gained.
"We understand the difficulties that are encountered and so these case studies, based on real-life scenarios, highlight where things may go wrong and how these incidents can be avoided by being thorough and ensuring that good communication is at the heart of all we do."
To view the case studies, visit www.rcvs.org.uk/informed-consent.
Chapter 11 of the RCVS supporting guidance on communication and consent is available to view at www.rcvs.org.uk/consent
During the course, which counts as 7 CPD hours, some of the best-known veterinary experts in equine nutrition will be sharing their knowledge with the speaker panel comprising Caroline Argo, Andy Durham, Pat Harris, Nicky Jarvis and Sarah Stoneham.
Course organiser Nicky Jarvis said: "Whether it's a conversation with an owner about their overweight horse, examining a geriatric pony with weight loss or formulating nutrition for an orphan foal, tailored nutrition is the cornerstone of every equine case we see in veterinary practice.
"We regularly treat a variety of conditions such laminitis and colic, but are we always confident about the best feeding advice to give our clients? And how often do we walk into a tack room full of the ‘latest’ supplements and wonder if any of them actually work?"
The course will look at a range of clinical conditions to enable vets to build evidence-based feeding advice into their treatment plans, formulate diets for any age of horse and see which supplements are worth the internet hype. The speakers will provide practical tips for everything from the anorexic pony to the stubborn weight loss case.
The course will cover how to:
BEVA President Lucy Grieve said: "Following the National Equine Forum’s Great Weight Debate (Equine) last month, appropriate equine nutrition has never been more topical.
"Equine obesity is a growing problem and this debate has highlighted how teamwork, communication and trust will help to tackle it to best effect. Veterinary professionals are in a unique and privileged position to support owners on all matters of nutrition and this course will give you the knowledge you need to provide practical, constructive help."
From superfoods to supplements: How to know more than the owner will cost £80.00 for members and £160.00 for non-members. To find out more and to book visit https://www.beva.org.uk/Education/CPD/Event-Details/eventDateId/555
The RCVS issued a reminder today that there is just over a month left before the 1 April deadline for all veterinary practice premises from which medicines are to be supplied to be registered with the College.
Just over 4,500 premises have applied for registration since November 2008. This includes about 750 premises not previously listed with the College, demonstrating the usefulness of the process, which will enable the government to fulfil its obligations under European law to maintain and improve traceability of, and accountability for, veterinary medicines.
From 1 April it will be an offence for a veterinary surgeon to supply a veterinary medicinal product from any practice premises not registered with the RCVS. On conviction, those committing the offence may be liable to prosecution, which may include a fine or prison sentence. Veterinary surgeons convicted of criminal offences are also considered by the College's Preliminary Investigation Committee to decide whether the conviction would affect the individual's fitness to practise and should be referred to the Disciplinary Committee.
In addition to ensuring their practice premises are registered, veterinary surgeons also need to keep a record of other places where medicines are stored, so these can be considered during an inspection - such as vets' homes or cars, or perhaps a charity premises from which veterinary work is carried out and where medicines are stored. Such records will not be published, although some of those premises may need to be registered in their own right.
Practices accredited under the RCVS Practice Standards Scheme will be inspected by the RCVS; non-compliance with medicines standards will be dealt with under the rules of the Scheme. The Veterinary Medicines Directorate (VMD) will carry out inspections of other registered premises to ensure compliance with the Veterinary Medicines Regulations. Where non-compliance is noted, the VMD will take a proportionate enforcement approach ranging from issuing advice to, where appropriate, serving an improvement notice or seizing medicines.
Fabtek Solutions has announced the launch of Meditek, an activated carbon wound dressing which has been impregnated with silver to enhance its antibacterial qualities.
Joy Coutts from Fabtek Solutions said: "Meditek uses Zorflex which is a 100% pure activated carbon fibre. It has a huge surface area due to its microporous structure, and a permanent electrostatic charge that attracts bacteria towards it, where they are immobilised and retained. When removed from the substrate, the bacteria die, but the microscopic particulates of metallic silver accelerate the bacteria kill.
"Better still, Meditek carries no risk phases as it's non toxic and non invasive."
Joy added: "We are commercial members of the Vet Wound Library, an initiative designed to help promote modern wound care to veterinary professionals, it also means members can try our dressings for free."
According to Fabtek, Meditek has been tried and tested by vets and produced excellent results. The company's website also features some case studies which show the wound before and after the use of Meditek.
Dressings are available in 10cm x 10cm, and 15cm x 25cm sizes, which can be cut to fit. Prices start from £35 for a box of five.
For more information, see http://www.fabteksolutions.com/, email admin@fabteksolutions.com or call 07794094011.
The study, titled The Veterinary Employment, Engagement and Retention Study (VEER), opened this week and aims to collect data from thousands of veterinary professionals across the United Kingdom and beyond.
Dr Dermot McInerney (pictured right), VetX Head of Research and Partnerships, said: “We will use the data collected to understand the factors influencing career happiness and how they impact on talent attraction and retention.
"We want to share this information with as many people as possible so we can work together to create a better, more sustainable situation for both employers and employees in veterinary practice.”
The study findings will be published later in 2022 and made available to all industry stakeholders.
All participants will receive a special report of the results with customised career advice, and be entered into a weekly draw to win a prize.
To take part in the survey, visit: www.vetxinternational.com/veer.
The service will be run by Dr Eloise Quince BVetMed CertAVP(SAM-F) PgCertVPS MANZCVS MRCVS and Dr Kate Allgood BVetMed CertAVP(SAM) MRCVS.
The practice says radioactive iodine therapy is the treatment of choice for hyperthyroid cats as it provides a permanent cure in up to 95% of cases.
It is administered by an iodine injection under the skin in a specialised unit by a trained vet and nurse.
The practice says a benefit of RI is that it treats ‘ectopic tissue’ that may be present outside of the thyroid gland, for example in the chest, which is not treated by surgical methods of thyroid removal.
Normal thyroid tissue is also spared, so that there is normal thyroid function post-treatment.
Though some blood tests need to be taken post-treatment, there is no need for ongoing blood samples and the monitoring of the thyroid function once successful treatment has occurred.
Elissa Norman, Clinical Director, who initially developed the idea for the iodine unit said: “The iodine unit first started as a scribble on a piece of paper and a dream of our team back in 2017 and it has taken a huge amount of dedication and effort from a large team of people to get to the point of opening in 2023.
"Radioactive iodine offers a lifetime cure for our hyperthyroid cats and we are delighted to be able to bring this service to the cats of East Anglia.”
To refer a cat patient, vets should email iodine@veterinary-hospital.co.uk.
Emma, who graduated from the RVC in 2016, first spent five years working for the Poultry Health Services team in North Yorkshire, before moving to Avara to gain on-farm experience as an area manager.
She then rejoined the PHS Sheriff Hutton practice as the veterinary lead for the North East in 2022, opting to return to clinical work where her main interest is in turkeys focusing on gut health.
Emma has a post-graduate diploma in population health, statistics and epidemiology, and sits on both the APHA Avian Expert Group and the British Veterinary Poultry Association committee.
The judges were impressed with Emma's commitment to poultry as well as taking on several other roles on committees supporting the industry.
John Kenyon, Veterinary Manager at award sponsor Zoetis, said: “The poultry industry is looking to attract more vets to specialise in this sector and Emma is a great role model.
“The profession plays an important part in maintaining the high health and welfare standards of the UK industry and the award is a great way to promote career opportunities for young vets.
"Zoetis has sponsored this award since the introduction of the Young Farm Vet category in 2020 and we are proud to see the success past winners have achieved.”
Other finalists included Esme Chapman of Howells Veterinary Services, and Katerina Theakou of Crowshall Veterinary Services.
Janssen Animal Health has announced that it has acquired the distribution rights for a range of sedatives and anaesthetics for small and large animals, including Dexdomitor, Domitor and Antisedan.
Janssen aquired the marketing and distribution rights, which were previously held by Pfizer Inc, from Orion Corporation.
Dr. Enno Gottschalk , Janssen's European Director Marketing and Sales said: "This acquisition of distribution rights results in the perfect combination of proven and effective products with the outstanding service and technical selling capabilities of Janssen Animal Health. The products include the sedative Dexdomitor and Domitor, as well as the antagonist Antisedan. Among large animals, predominantly horses, the sedative injection Domosedan is now on offer as part of the Janssen Animal Health portfolio."
Sureflap, the microchip pet door company has teamed up with animal behaviourist Jon Bowen MRCVS to provide a free CPD-qualifying presentation about improving cats' quality of life with simple modifications to their environment.
In the 45-minute webinar Jon explains how the domestic environment impacts on the cat's territory and the stress this creates. He also offers practical advice on how owners can make the space feel safer for the pet.
To view the webinar go to www.sureflap.co.uk/vet/cpd/territory-stress. Complete the quiz at the end, and you'll be sent a CPD certificate.
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.
TVM, which has a wide range of products in ophthalmology, neurology, geriatrics, gastroenterology, anti-poison management and health and wellness, says that the acquisition is designed to boost the company's international scope, building market share and expanding its leadership in the fields of ophthalmology and neurology beyond France.
The acquisition will also strengthen TVM’s position in the area of animal anti-poison treatment as Forum Animal Health already supplies a canine emetic which it has been marketing in the UK for three years with an awareness campaign about the dangers of toxic products to dogs. This, the company says, has contributed to a significant increase in early interventions by veterinary surgeons in cases of poisoning. A similar campaign is currently being led in France by the TVM laboratory.
To accompany the change, Forum Animal Health is adopting a new visual identity, shown above right.
The ISFM says Congress will offer veterinary professionals an extensive scientific programme designed to support a multi-modal and cat friendly approach to caring for feline patients with acute upper urinary tract disease and other emergencies.
Speakers will include Søren Boysen (Emergency & Critical Care), Serge Chalhoub (Internal Medicine), Laura Owen (Soft Tissue Surgery) and special guest Allyson Berent (Non-Invasive Surgery).
Sam Taylor MRCVS, ISFM Veterinary Specialist Lead (pictured right) said: "We seem to be seeing more and more feline urinary cases, urolithiasis and acute kidney injury - and of course the familiar blocked cats!
"In Dublin, I can’t wait to hear how to approach these cases as well as look more in-depth at ECC and discuss cat friendly critical care amongst many other topics from all angles – surgery, medicine, behaviour, imaging and more!’
The 2023 ISFM Feline Congress Dublin is open to veterinary surgeons and nurses of all experience levels.
https://icatcare.org/congress-2023-dublin/
Virbac Animal Health has launched a new pet owner information pack to help practices raise awareness of reproductive health issues in dogs and cats.
The pack consists of a leaflet holder with four different leaflets covering unwanted sexual behaviour, castration, prostate disease and misalliance. The holder has a small footprint so will sit nicely in any practice reception area.
Product manager Chris Geddes MRCVS says that the pack will make it easier for vets and VNs to raise the sensitive issue of pet reproductive health with owners. "For example, prostate disease in men is well documented and public knowledge is high, but we believe that few people know that it can affect pets too.
"It is estimated that 80% of male dogs over the age of five suffer from prostate problems, but experts agree that it is underdiagnosed at present. This is possibly due to a combination of a lack of awareness and client unease on discussing reproductive subjects at their vet practice."
To obtain your free pack or for further information, please contact your local territory manager or call Virbac on 01359 243243.
The Guardian has published it's University Guide 2014, which ranks Cambridge as the best vet school, and Bristol as the worst.
Universities were ranked by the Guardian according to a number of criteria, including what percentage of students are satisfied with the course, the student:staff ratio and the amount spent per student.
The full league table of universities (with their Guardian scores in brackets) was:
Interestingly, though, only 76% of Cambridge students are in graduate level jobs, or studying further, within six months of graduation, compared to Glasgow's 95%. Meanwhile, Nottingham had the highest percentage of students that were satisfied with the course and the teaching. Liverpool had the highest spend per student, and Cambridge had the lowest student:staff ratio.
The BSAVA reports that two four month old puppies in The Netherlands have tested positive for rabies.
The puppies were imported into The Netherlands from Bulgaria on October 5th. Reports indicate that these puppies, which were both microchipped and travelling under the Pet Passport scheme, originated from a shelter in Bulgaria. They are still trying to trace the driver and passenger who delivered the puppies.
One puppy started showing signs of fever and paralysis on 10th October and was euthanased on 18th October, it has tested positive for rabies on both direct immunofluorescence (DIF) and polymerase chain reaction (PCR).
The second puppy was euthanased because it originated from the same litter, although it was living in a different area of the country by this time. This dog was suffering from haemorrhagic gastro-enteritis (HGE), but showed no neurological signs. However it has also tested positive for rabies on both DIF and PCR.
The BSAVA says this aspect of the case will be of particular concern to veterinary professionals in the UK because HGE is commonly seen in unvaccinated (imported) puppies. Preliminary reports do not make clear the vaccination status of these dogs.
BSAVA President, Professor Michael Day, said: "Not only does this demonstrate the need for pet owners to comply with pet travel legislation, but also for vets to be alert to the possibility of disease with any imported animal.
"Whilst we have been concerned about the issue of illegal imports and the enforcement of the current legislation, this latest incident also raises the possibility of rabies cases in dogs that appear to comply with the current pet passport regulation."
This calls into question whether veterinary staff in first opinion practice should be offered the pre-exposure rabies vaccination. The current recommendations from Public Health England are that all individuals at continuous and frequent risk of exposure to the rabies virus, as well as some groups at infrequent risk, should be offered pre-exposure rabies vaccination. Professor Day said: "Whilst veterinary professionals in companion animal practice are not currently included in this list, this might be a timely point to undertake a review based on a new risk assessment. I would be in support of practitioners who believe they are at risk having the option of the subsidised occupational vaccination."
UK veterinary surgeons are reminded that responsibility for dealing with illegal imports rests with local authorities; usually Trading Standards or Environmental Health. However, if a veterinary surgeon in practice has any suspicion of rabies or any other notifiable disease they should inform their local Animal Health Office.
Zoetis has announced the introduction of Equimidine solution in a 50% larger plastic bottle.
The company says the new 15ml multi-dose presentation, now in plastic rather than glass, offers greater safety, as well as cost-saving advantages to practices.
Equimidine, containing 10mg/ml detomidine hydrochloride and methyl parahydroxybenzoate 1 mg/ml as a preservative, is a clear solution for intravenous injection. It has sedative and analgesic properties and is indicated for use either alone or in combination with butorphanol to facilitate the handling of horses for clinical examinations, minor surgical procedures and other manipulations. It can also be used with ketamine for short duration general anaesthesia for surgical procedures such as castration.
According to the company, the new 15ml plastic bottle is more cost-effective per dose than the old 10ml glass vial. It is also safer to use as the bottle is less likely to break if accidentally dropped. The multi-dose facility involves a tightly fitted rubber bung through which a sterile needle can be inserted to withdraw each dose.
Penny McCann, Equine Product Manager, Zoetis UK Ltd, said: "The new presentation provides practical benefits for vets and the larger bottle size means the product is now even more cost-effective."
For more information, speak to your Zoetis Account Manager, refer to the SPC or contact Zoetis Customer Support on 0845 3008034.
By offering an alternative to face-to-face consultations, VetHelpDirect's online consultation platform provides a means to continue to care for animals while protecting both clients and vet practice staff and still maintaining revenue streams.
The system can be used by clients on most smart phones or tablet devices. Clients can book online or be sent a link by the practice, and payment taken online before the consultation starts.
Transactions on the platform are subject to a 4.8% platform fee and at the end of the 3 month free period, the service costs £20 per month. In addition, to continue using the service, practices need to be registered on the VetHelpDirectory, which costs £38 per month for the first branch and £16 for each additional branch.
For more information, visit: bit.ly/VHD_registration, where you can 'self onboard'. On which note, I will disembark.
In the study, which was supported by MSD and led by Rosie Lyle of Bishopton Veterinary Group, 18 farmers placed temperature loggers in the fridge where they normally store vaccines. Temperatures were then monitored between February and April. Throughout this period, 89% of loggers recorded a temperature outside the 2–8°C range at least once, and 43% recorded temperatures outside this range more than 50% of the time.
The authors say that these findings raise potential concerns about vaccine efficacy.
Rosie found that 55% of the loggers recorded a temperature over 8°C, and 39% recorded a temperature below 2°C.
Across all the fridges monitored, the maximum temperature recorded was 12°C and the minimum was -11.5°C.
Rosie said: "This is a surprisingly wide range. Obviously, these findings are concerning for farmers as we know that both too high and too low temperatures can impair vaccine efficacy.
"Live vaccines tend to be particularly sensitive to elevated temperatures, whereas inactivated vaccines are more affected by freezing, especially when the adjuvant contains aluminium salts".
"It’s important for both farmers and vets to be aware of potential concerns about vaccine efficacy, given the possible impact on herd health and the potential for vaccine failure to reduce trust in vaccines and herd health recommendations".
In light of Rosie’s findings, other XLVets practices are now encouraging farmers to take action to improve medicine storage, including using max/min thermometers or temperature loggers to track fridge temperature, as well as taking steps to maximise the efficiency of each fridge.
Susan Goodfellow, Marketing Manager at XLVets, said: "We wouldn’t have known that this is an important issue to highlight to farmers without collecting the information, so Rosie’s study was very valuable.
"In the XLVets community, we support clinical leadership with these kind of projects – we actively collect data and make sure that farmers can benefit from the latest findings. As a group of independent practices working together, we can achieve much more than we could in isolation."
The kit uses an indirect semi-quantitative IgG antibody assay which provides an easy-to-read colour change which clearly distinguishes normal IgG levels (>8mg/ml; colourless), partial FPT (4-8mg/ml; pink) and levels generally considered diagnostic of complete FPT (<4mg/ml; purple).
Vetlabs says the kit has a proven sensitivity and specificity of 97.4% and 93.6% respectively, and responds equally well with anticoagulant whole blood, serum or plasma. And with no additional equipment or refrigerated storage required, it is a true field test.
Mike Fleming, CEO of Vetlab Supplies Ltd said: "It’s not often you get to launch an equine diagnostic that’s genuinely life saving. With Fastest IgG Equine, vets can now give a clear-cut Failure of Passive Transfer (FPT) diagnosis at farms, stables or equestrian centres – and all in just 10 minutes."
According to the company, as many as 1 in 5 new-born foals can suffer some degree of IgG FPT. Foals with no antibody protection, due to complete FTP, have an estimated 75% chance of contracting debilitating or life-threatening infection. Even foals with some protection following partial FPT have only a 50% chance of resisting invaders such as Anaplasma, Giardia and Cryptosporidium.
The new-born foal’s absorption of maternal antibodies is most efficient in the first 6 to 8 hours of life, effectively ceasing after 24 to 36 hours. Veterinary surgeons and managers of equestrian facilities have only this narrow window to recognise FPT and act to save a valuable new-born from life threatening infection.
Mike added: "With Fastest Equine as part of their field kit, equine vets are equipped to diagnose and treat antibody deficient foals with life-saving colostrum, colsotrum formula substitute, or administer oral or intravenous IgG, within that critical first 24 hours."