Following last week's news from Defra that sales of antibiotics for food-producing animals in the UK have dropped by 27%, comfortably beating the government target of 50mg/kg which was set following the 2016 O’Neill Review on Antimicrobial Resistance, targets for further reducing antibiotic use across the key livestock sectors have been announced by Responsible Use of Medicines in Agriculture (RUMA) Alliance 'Targets Task Force'.

The Targets Task Force comprises a leading veterinary surgeon and farmer from each of the beef, dairy, egg, fish, gamebird, pig, poultry meat and sheep sectors, who have been consulting with key organisations in their respective industries. The group also includes observers from regulators Food Standards Agency and Veterinary Medicines Directorate (VMD).

While the targets each sector has set vary according to the availability of data and scope in their sector, the targets as a whole have been described as 'positive and proactive' by the VMD. 

The headline targets for the eight sectors include a reduction in use of antibiotics in pigs by over 60% between 2015 and 2020, with minimal use of highest priority Critically Important Antibiotics (CIAs). RUMA reports that good progress has already been made in this sector, with usage falling by around 35% between 2015 and 2016.

Targets Task Force member and president of the Pig Veterinary Society Mark White said: "It's encouraging to see the response in the sector to the challenge laid down, which bodes well for achieving our ambitious 2020 goal. It is evident that the sector – steered mainly by the members of the Pig Veterinary Society, AHDB Pork and the National Pig Association – has the will and the capability to fully engage with the issue."

Next steps, he said, were to focus on eliminating routine preventative treatment where it is still happening, mainly due to lack of resource or expertise. "We can also work to improve water delivery systems so that more targeted treatment in the water can be used instead of in-feed medication."

The dairy cattle sector has committed to a 20% reduction by 2020, with a particular focus on halving use of the highest priority CIAs. The work to achieve this will be led by a newly-created Dairy Antimicrobial Stewardship Group (DASG) which includes all key organisations in the sector.

Some of the strategies to achieve these goals in dairy farming include reducing the use of antibiotic dry cow therapy and injectable products, and cutting back on group treatments such as antibiotic footbaths for lameness which remain largely unproven, instead using topical and targeted treatments.

Di Wastenage, dairy farmer from Devon, Task Force member and chair of the DASG, said the sector needed to be ambitious about what it could achieve. “While use is lower than in some sectors, there are clear areas to tackle where use can be habitual, or common disease problems go unchallenged.

"For example, eliminating BVD and Persistently Infected animals from the herd is one of the obvious places to start, as well as talking to your vet to calculate the usage levels you have at the moment. Calf rearing can produce a 'hot spot' of treatment, as can digital dermatitis. Everyone has the potential to use antibiotics more responsibly somewhere."

The gamebird sector, having undergone a comprehensive awareness-raising initiative among game rearers in 2017 to cut back on reducing the need for medicines, aims to reduce use by a quarter this year, with a further 25% reduction between 2018 and 2020. 

Three sectors – poultry meat, laying hen and fish – are either already low users of medicines or have made significant reductions over the past five years. These sectors will be focusing on maintaining use at the minimal level needed to ensure good health and welfare among their livestock, while tackling emerging challenges should they arise.

The poultry meat sector, previously described as a 'pathfinder' for the rest of the farming industry, has already reduced use by 71% between 2012, when its stewardship scheme was introduced, and 2016. 

In doing this, the poultry meat sector has also ceased all preventative treatment and use of the highest priority CIAs. It will now maintain current levels in chickens and look for further reductions in turkeys. This sector will use clinical governance to ensure CIA antibiotics are only prescribed when absolutely needed and with sign off from veterinary specialists and management.

The laying hen and fish sectors have similarly committed to continuing low use, with the laying hen sector eliminating all use of highest priority CIAs in the past two years. The development of a vaccine in the salmon sector several years ago successfully controlled one of its most challenging bacterial diseases, so the focus has turned to the health of the ‘cleaner fish’ used to provide natural control of sea lice.

The trout farming sector, with its greater number of small producers, is concentrating on reducing the need for antibiotics and improving data capture.

The beef and sheep sectors are already low users of antibiotics, but have acknowledged they each need better data, and will also commit to addressing 'hotspots' of use. Both have committed to a 10% reduction in antibiotic use by 2020, subject to securing better data.

For the beef sector, reduction in use centres around calves and youngstock, particularly in the areas of respiratory disease. There is also an emphasis on calves from dairy herds, where mixing animals from different sources can create a peak in disease pressure similar to children going to school for the first time.

In sheep, the focus areas are to reduce routine preventative antibiotic usage against abortion (miscarriage), lameness and neonatal lamb diseases such as watery mouth and joint ill. 

With initiatives proving that routine preventative use is largely avoidable through a combination of vaccination, good hygiene, quality nutrition and careful shepherding, Dr Fiona Lovatt of the Targets Task Force is optimistic about the opportunities to reduce overall use.

"In the sheep sector, we’re not high users of antibiotics. But we want to ensure that any use is totally targeted so we are challenging all inappropriate or routine preventative use.  

"Convincing farmers to change practices is tricky, and none of us want to see an increase in levels of disease, but those who have had the courage to work with their vets to change what they do are now seeing what is possible. The answer is to take a holistic approach and work closely with a keen sheep vet."

Gwyn Jones, chair of both RUMA and the Targets Task Force, said he has been overwhelmed by the positivity of the group and its willingness to be ambitious. "The members have worked very hard and have shown incredible leadership and persistence. They have also provided unprecedented support and inspiration to each other.

"I am delighted they have agreed that the group should continue to meet twice-yearly to review progress and discuss issues."

The full report with all targets for each sector can be downloaded from the RUMA website www.ruma.org.uk.

VetCT has announced that it now offers unlimited specialist teleconsulting support to help general practitioners with the management of chronic cases.

The VetCT teleconsulting service, which can be accessed via the web and an app-based platform, provides advice from a specialist team.

Typically advice is provided as a written report within 24 hours, with options for text chat or telephone conversations when vets may want to discuss the case with a specialist.

The service can be accessed on a pay-per-case or subscription basis.

Until now, follow-up advice had been capped at two weeks.

Internal medicine specialist and Head of Teleconsulting at VetCT, Kate Murphy, said: “We are delighted to be extending our support for cases that require ongoing management, such as endocrine disorders or complex wound management.

"Our clients have fed back how valuable it will be to partner with us longer term for these patients, to provide guidance and reassurance that care is being optimised and help to keep owners engaged and happy.”

welcome.vet-ct.com/sales 

The Disciplinary Committee of the Royal College of Veterinary Surgeons has suspended a veterinary surgeon for a period of three months for practising veterinary surgery while not registered with the College.

At a hearing which concluded on 9 September, Silke Birgitt Lindridge, of the Consett Veterinary Centre, Medomsley Road, Consett, County Durham, was found guilty of disgraceful conduct in a professional respect for practising when she ought to have known that her name had been removed from the RCVS Register for non-payment of fees.

The Committee heard that Mrs Lindridge, who qualified as a veterinary surgeon at the University of Berlin in 1997, had returned to Germany whilst on maternity leave in September 2006 but had continued to be the sole principal of two practices, the Consett Veterinary Centre, and the Winlaton Veterinary Centre in Tyne and Wear. She had continued to run the practices whilst in Germany, and had returned to the UK on several occasions during 2007, when she practised veterinary surgery on small animals and horses. She had not been registered with the College for the period between 5 June 2006 and 2 April 2008.

To practise veterinary surgery when unregistered is a criminal offence. However, after consultation with the Crown Prosecution Service, a decision was taken that it was not in the public interest to prosecute Mrs Lindridge and that the matter should be left with the RCVS Disciplinary Committee.

Mrs Lindridge claimed not to be aware that she was unregistered, stating that a fee notice and reminder, as well as a telephone call and correspondence from the College about her registration status, had not been brought to her attention by her practice administrators. The Committee accepted that she had not known, but decided that, as registration was a professional obligation, Mrs Lindridge should have known that her name had been removed from the Register, a charge that Mrs Lindridge accepted. The Committee felt that: "The failure of Mrs Lindridge to put in place proper systems for the administration of her practice, including the payment of her annual retention fee... was lamentable." The way in which the practice had paid its bills during her absence demonstrated an "utterly careless attitude to the administration of the practice".

Taking account of the fact that Mrs Lindridge had not knowingly practised while unregistered, and the positive support of her clients, the Committee decided that a three-month period of suspension from the Register was appropriate.

Beverley Cottrell, chairing the Committee, commented: "The Committee would like to make it clear that it is the personal responsibility of every practising veterinary surgeon to ensure that the annual retention fee is paid and that their names are on the Register. It is in the public interest that clients should be assured that the practitioner is a regulated person, who is capable of providing valid certificates."

She continued: "The record of Mrs Lindridge's practice during 2007 discloses that she was providing certificates for horses and small animals whilst she was unregistered. Those certificates are invalid. She was also prescribing prescription-only drugs when she was not entitled to do so. The Committee considers that a short period of suspension is proportionate to the nature and the extent of the charge, the public interest and the interests of Mrs Lindridge."

Vygon Vet has launched two new 'procedure packs' containing disposable essentials for unblocking a tomcat or performing a spay or minor surgery.

The KatKath Urinary Catheter Insertion Pack contains a catheter, a drape towel, polypropylene suture, lubricating gel, a Luer-slip syringe and a clear tray. The complete set costs £10.99.

Vygon Vet General Manager Chris Kenyon, said: "Not only does our KatKath pack ensure everything that's needed is in one place and sterile, it can also save vets up to 50% compared with prices if they buy similar products separately. It's a win-win situation."

The Spay Tray and Minor Operations Set (pictured right) includes a selection of forceps, a Mayo Hagar needle holder, a scalpel, a pair of dissecting scissors, a hand towel, drapes, a tray and five radiopaque swabs.

Chris said: "Our Spay Tray and Minor Ops Sets are produced to the highest standards using top quality materials. Having the required items in one pack eradicates the need to go through the expensive process of washing, re-packing and re-sterilisation, and from an admin point of view invoicing is easy with one single code covering all the different pack parts."

The Spay Tray and Minor Ops Sets are available for an introductory price of £12.50 for a limited period.

In the blurb, Vygon Vet says the benefits of its procedure packs include:

• Help organise your theatre and storage space
• Save time preparing for a procedure
• Standardise practice
• Reduce inventory
• Simplify invoicing
• Save money

The company is also offering a retrieval service through which the instruments from up to ten packs can be disposed for £14.50.

For more information, visit www.vygonvet.co.uk, telephone: 01793 748900 or visit Vygon Vet at the forthcoming BSAVA Scottish Congress (29-31st August at the Edinburgh Conference Centre).

A new programme to help reduce the stress of pets suffering a reaction to sudden loud noises such as fireworks and thunderstorms, has been launched by the makers of Zylkène.

Intervet / Schering-Plough Animal Health, which manufactures Zylkène, a product to help manage stress in dogs and cats, has developed the programme in association with animal behaviour experts at Bristol University.

The Zylkène Sound Desensitisation Programme, to be used in conjunction with Zylkène, features sound tracks, advice, written and verbal instructions and a practice track designed to help pet owners find a long-term solution to a common and distressing problem. The CD features fireworks, thunder and lightening and gunshots sounds and includes component sound tracks to avoid overwhelming very sensitive pets.

One CD will be given away free of charge with every box of Zylkène purchased between 1 September and 30 November, while stocks last.

The Zylkène Sound Desensitisation Programme complements an educational waiting room display and owner information sheets which provide owners with practical advice and techniques to help pets cope throughout the firework season.

Melanie Dass, product manager at Intervet /Schering-Plough Animal Health, said: "The sad fact is that just under half the UK dog population reacts to sudden loud noises, as do many cats. Stress caused by unexpected sounds manifests in many ways from hiding, house soiling or attempts to escape.

"Unfortunately, if this problem is not correctly managed, firework-related stress reactions can become progressively more severe and can extend to other sounds such as thunder and even everyday noises such as car doors being slammed. Desensitisation is a proven method of changing a pet's response to sudden loud noises. This new Zylkène Sound Desensitisation Programme means we can now offer pet owners short and long term problems to a common and distressing problem."

Veterinary surgeons who want to play a part in determining how the RCVS regulates professional standards and education, as well as advancing the profession through its Royal Charter activities, can now put themselves forward as candidates in next year’s elections for RCVS Council.

Nominations will remain open till 5pm on Tuesday 31 January 2023 and the elections will take place in March and April 2023.

RCVS President Dr Melissa Donald, a member of RCVS Council since 2016, said: “I am a general practitioner by background, and so having the opportunity to serve on Council and be at the heart of decision-making that has a real and consequential impact on how we as vets work and conduct ourselves, has been a real privilege.

“In my six years on Council I’ve had the opportunity to be involved in fascinating debates and discussions, to represent the RCVS and its activities at country fairs and congresses, and to talk to and get the views of peers and colleagues from across the UK.

"Serving your profession in the RCVS is a fantastic opportunity and I would recommend anyone who wants to have a real say and impact on the future of the profession to stand for next year’s Council elections.”

The full eligibility criteria, info and FAQs for vets who want to stand can be found at: www.rcvs.org.uk/rcvscouncil23.

Prospective candidates for RCVS Council can also contact Melissa Donald for an informal conversation about what it means to be an RCVS Council member: president@rcvs.org.uk.

There is also an opportunity for prospective candidates to attend a meeting of the RCVS Council on Thursday 19th January 2023 at the University of Nottingham Veterinary School, as an observer.

Contact Dawn Wiggins, RCVS Council Secretary, on d.wiggins@rcvs.org.uk if you'd like to go.

Dechra Veterinary Products has launched four new care products, enhancing its Professional Care range, available exclusively through veterinary practices.

The new products are:

• PawProtect:  a wax-based product applied to paws to protect them against the effects of harsh environmental conditions, including rough ground and ice
• CleanGenital:  a syringe-administered fluid to facilitate the cleaning of the prepuce, other genital mucous membranes and the anal area
• AntiSept:  a specially formulated spray designed to keep wounds and lesions clean
• CatMalt:  a palatable liquid which helps to eliminate hairballs in cats.

Brand Manager Rachel Horton said: "At Dechra we're focused on providing a complete care solution for companion animals. Our Professional Care range provides products which owners can use at home to keep their pets in great condition.

With the launch of these new products, we believe the Professional Care range provides a cost-effective care solution for pet owners while providing significant additional revenue opportunities for practices."

Leading veterinary dermatologist Sue Paterson has called for veterinary surgeons to prescribe narrow spectrum, long-acting antibiotics for first line cases of otitis externa (OE) to reduce concerning levels of multiply-resistant, chronic infections.

Sue, who is President of the European Society of Dermatology and an RCVS Specialist, says in a video interview that antimicrobial resistance (AMR) is making otitis externa cases difficult to resolve and that vets can help overcome the problem by rethinking their first line prescription choices.

In the video, created in conjunction with Elanco Animal Health (maker of Osurnia), Sue said: "It’s a sad thing to say but if everybody did manage cases of otitis externa appropriately first time, I probably wouldn’t have a job at all."

"Many of the cases I see as a referral clinician are longstanding cases with very severe, multiply-resistant infections. If we get these cases right on the first occasion with appropriate prescription of drugs, and we don’t hurt dogs so we can give ongoing treatment, then we’d never ever see pseudomonas infection again."

Sue believes part of the problem is that veterinary surgeons are incorrectly saving some of their best first-line treatments for difficult cases. This is perpetuating the antimicrobial resistance problem as cases are being inadvertently mismanaged.

She said: "Florfenicol, which is the active antibiotic in Osurnia, has excellent gram positive activity which makes it an ideal first line choice. However, there’s a misconception that florfenicol is a fluoroquinolone - which it isn’t - so vets are incorrectly ‘saving it’ rather than using it on the first occasion."

Sue also highlights that poor compliance, resulting from the patient’s behavioural problems associated with ear phobia, also has a long-term impact:

"We’ve seen many 'well behaved' dogs that have bitten their owners as a result of fear aggression; we’ve had dogs that have pinned their owners against the wall. I would argue very strongly that if you use long-acting products in dogs on the first occasion then you avoid creating that problem and these dogs don’t become difficult to medicate on a long-term basis."

Sue summarised two factors that vets need to consider when deciding on the appropriate treatment: the right active ingredients to target common first-line pathogens; and the method of application. She urged vets to consider using a long-acting product applied within the practice, removing the need for home treatment to reduce stress for both owner and the dog, improve long-term compliance and maximise clinical outcomes.

To hear Sue’s tips on how to treat cases of otitis, watch the video here – www.osurnia.co.uk

The British Veterinary Association, some of the UK's largest animal charities, law enforcement agencies and unions have today called on the leaders of the main political parties to work together to introduce improved and updated legislation to protect dog welfare and public safety.

The 20 groups have come together to demand action against irresponsible dog owners by the Government and the provision of necessary resources for those tasked with policing dog control laws.

It comes ahead of the summary of responses from Defra's consultation on dog legislation which is expected this autumn. The consultation received more than 4,000 responses by the time it closed in June, indicating the scale of interest in the subject.

The joint statement will be sent to Prime Minister David Cameron MP, Deputy Prime Minister Nick Clegg MP and acting leader of the opposition Harriet Harman MP.

The statement says: "We believe that irresponsible dog ownership, whether it is allowing dogs to stray, be dangerously out of control or indiscriminately breeding them, causes significant problems for the safety and welfare of both humans and animals. Current legislation is proving inadequate in many cases to ensure sufficient protection.

"We believe that both the provision of sufficient resources at a local level for local authorities and the police, and updated and consolidated legislation that has a genuine preventative effect, are needed to address this problem.

"We call on the coalition Government to act and bring forward legislation that addresses these areas effectively."

BVA President Professor Bill Reilly added: "The Government must not ignore this overwhelming call for action to protect dog welfare and public safety.

"The problems caused by dangerous dogs will never be solved until dog owners appreciate that they are responsible for the actions of their animals. The BVA believes very strongly in the principle of deed not breed - targeting dogs for their actions, not what they look like - and new legislation must tackle the actions of irresponsible pet owners that can cause dogs to become aggressive. Current legislation is not tackling irresponsible owners who increasingly put the public and other animals at risk.

"Compulsory microchipping - and an effective and workable registration system - should be put in place for all dogs, not only to reunite stray dogs with their owners, but also to help prevent puppy farming and to promote responsible ownership.

"I cannot stress too strongly that responsible ownership is the key to resolving the issue of dangerous dogs."

Companion Care Vets has announced it will work in partnership with VetAbroad, an e-learning company that has been established to help vets who qualified outside the UK to develop a successful career within it.

Companion Care is the first veterinary group in the UK to enter into partnership with VetAbroad, with the aim that all new non-UK employees will complete the course.

According to the company, almost 30% of vets registered in the UK are from overseas and statistics show that one in three will leave the register in less than 24 months and 20% in less than 12 months. Statistics also highlight the likelihood of a non-UK vet to be struck off or suspended is six times higher than for a UK vet.

Jane Balmain, Managing Director of Companion Care Vets said: "Whilst we as a company offer as much support as possible to our team members from overseas and support their continued learning , we are delighted to be working in partnership with VetAbroad to utilise their training solutions and further enhance what we offer to team members who come from overseas. All new employees will be required to take the course and we will also be encouraging our current overseas vets to complete it."

The e-course covers social and professional adaptation, compliance with current legislation, teamwork, productivity, client care and communication skills and VetAbroad states that those taking the course will substantially increase their chances of retaining and obtaining a job in the UK.

Vet and founder of VetAbroad Luis Sainz-Pardos said: "The primary aim of our course is to help vets who have qualified overseas to swiftly integrate into the UK system. Vets who have taken the course will be aware of UK legislation and should be able to interact with colleagues, clients and patients to a UK standard. As a result, the problems often associated with employing non-UK vets to work in UK practices are greatly reduced. I am thrilled to be working in partnership with Companion Care Vets, a company that I believe is thriving due to its investment in its most important asset - people."

For further information about VetAbroad please visit www.vetabroad.com

Specialists at the RVC appear to have saved Christmas after successfully treating Snowflake, one of twenty reindeer owned by a Mr S. Claus* of Rutland, for a neoplastic lesion of the third eyelid. 

Snowflake previously had a squamous cell carcinoma mass on the right lower eyelid, which was completely removed in 2018.

However, her owner noticed an abnormal growth in the left eye, and brought her back to the RVC.

On presentation, Snowflake was bright and in good body condition, weighing 71kg.

Both eyes were open and appeared comfortable and visual.

Ocular reflexes and responses were also present as expected and there was no evidence of recurrence of the squamous cell carcinoma on the lower right eyelid.

Snowflake was, however, diagnosed with mild cataracts in her right eye deemed unlikely to interfere with her vision.

In addition, the mass of her left third eyelid was nonpigmented and displayed a poorly defined mass-like lesion, with an irregular surface on the leading edge, appearing consistent with a squamous cell carcinoma.

The team, led by Dr Maria-Christine Fischer, Lecturer in Ophthalmology, Dr Sara Lawrence-Mills, Senior Clinical Training Fellow in Anaesthesia, and Dr Carolina Palacios Jimenez, Lecturer in Anaesthesia, decided to undertake surgery.

They removed the third eyelid under sedation and applied local anaesthetic blocks and topical tetracaine eye drops.

Cryotherapy was then applied to the wound edge as an adjunctive therapy.

The RVC says that to date, there are few publications detailing anaesthesia in reindeer and so this protocol was a novel approach to maintaining a safe level of sedation in a well-domesticated animal.

The College added that the use of these nerve blocks to facilitate ophthalmic surgery has not been reported before and is in the process of being published.

Snowflake’s third eyelid was submitted for histopathology, which confirmed the diagnosis of squamous cell carcinoma, which the team at the RVC was able to remove completely.

During the process, Snowflake’s daughter was with her so they both remained calm, and she has now made a full recovery and has enjoyed being reunited with her herd.

Maria-Christine said: “Snowflake had a cancerous mass on her third eye lid.

"Surgical removal of the third eyelid in a reindeer has not been reported before.

"We were pleased that we could perform the surgery with Snowflake under a standing sedation and with using local anaesthetics.

"As an ophthalmologist, I am committed to preserving vision so it’s rewarding that we were able to completely excise the tumour and did not have to remove the eyeball. It’s a very good outcome.

"I’m also pleased that Snowflake recovered quickly from the procedure, and we were able to share the protocol of the sedation and the local nerve blocks with other vets via a scientific publication.

"Sharing our knowledge will hopefully be beneficial for future ophthalmic surgeries in reindeer.”

* aka Mr Nick Dean.

RCVS Council has unanimously elected Mrs Jacqui Molyneux to become its new Junior Vice-President. She will take up office on RCVS Day, 1 July 2011.

Jacqui said: "As I have become more and more involved with the RCVS and the work of its committees I am amazed at the amount of work being done behind the scenes by both Council Members and the RCVS staff. It's sad that many of the profession live in fear of the RCVS as they are only aware of its regulatory function.

"During my time on the Officer team, communication with the profession will be a priority, not for the vocal minority, but with the silent majority who have no idea of the breadth of the work that the RCVS undertakes each year."

Jacqui graduated in 1981 from the University of Bristol and started her career in small animal practice in Liverpool, before moving to the North East, and setting up her own practice.  Following its rebuilding, the practice was accredited as a Veterinary Hospital in 2002 and, four years later, has become RCVS Practice Standards Scheme accredited.

Since her election to the RCVS Council in 2005, Jacqui has chaired the Small Animal Certificate Board and served for four years on the Disciplinary Committee. She has also been Vice-Chairman of the Veterinary Nurses Council since 2007.

From 2009, Jacqui has chaired the RCVS Awarding Body Board, including the review of Veterinary Nursing.  

Jacqui is currently President of the Society of Practising Veterinary Surgeons (SPVS). She is studying for a Masters in Clinical Oncology with the University of Birmingham, and holds an RCVS Certificate in Small Animal Surgery awarded in 2000.