The RCVS Disciplinary Committee has suspended a Kent veterinary surgeon from the Register for eight months after he was found guilty of dishonest certification.

At the outset of the hearing held on 14/15 December, Takeshi Okano, of Lakeview Veterinary Centre in Deal, Kent, admitted charges that, whilst acting as Official Veterinarian, he had signed a number of certificates when he knew that did not have all the information needed to do so.

On 23 June 2009, Mr Okano had been asked to act as Official Veterinarian to examine four horses and sign the certificates necessary for their export to the USA.  The certificates required Mr Okano to certify he had received a written declaration from the owners that the animals had been in the UK for 60 days previously. Mr Okano also signed certificates indicating that the horses had only been in France, Ireland, or the UK for the same 60-day period. Despite having received no such declarations, and having no information whatsoever of where the horses had been, Mr Okano signed the certificates. At the hearing, no explanation for Mr Okano's actions was offered.

Mrs Beverley Cottrell, Chairman of the Disciplinary Committee said: "The validity of any certificate is an integral part of the system relating to the export or import of animals. At Section G of the RCVS Guide to Professional Conduct, emphasis is given to the importance of certification, the importance of the signature and the guidance issued by DEFRA. These provisions are well known to the profession."

The Committee was satisfied that Mr Okano's actions in signing the certificates without the owners' declarations amounted to a serious departure from professional standards.  In reaching a decision on sanction, it considered that, whilst a reprimand or warning would not be appropriate, neither would removing Mr Okano's name from the Register be proportionate, or necessary either in the public interest or to protect animals.

"Mr Okano is a young veterinary surgeon at the start of his career, who from the outset admitted his actions," said Mrs Cottrell noting that the testimonials from veterinary surgeons, veterinary nurses and clients, and his record of Continuing Professional Development demonstrated his commitment to high standards within the profession.  "In reaching this decision, we have paid particular regard to the fact the false certification was neither persistent nor concealed, nor was he a senior veterinary surgeon."

The Committee directed Mr Okano's name be suspended from the Register for eight months.

Norbrook Laboratories has announced the addition of new indications to its Loxicom (meloxicam) products, two regarding its use in cats, and the other in calves.

Loxicom 5mg/ml solution for injection for dogs and cats is now indicated for the management of post-operative pain in cats. An injection given around the time of surgery can be followed up with a course of Loxicom 0.5 mg/ml oral suspension for cats. Alternatively, for cats where no follow-up oral treatment is possible, for example with feral cats, a larger dose of the injectable formulation can be given at the time of surgery.

Norbrook's EU Veterinary Advisor, Rebekah Dudek MRCVS, said: "Norbrook is pleased to be able to now offer vets two on-licence choices in relation to how they want to use their 5mg/ml meloxicam injection in cats. This gives vets the flexibility they need to be able to deal effectively with the wide variety of cases they see every day."

Loxicom 20mg/ml solution for injection for cattle, pigs and horses has now been licenced for the relief of post-operative pain following dehorning in calves. 

Rebekah said: "Dehorning in calves has long been known as a painful procedure, with a negative impact on feed intake in the post-operative period. With our latest licence, Loxicom 20mg/ml can now be used for relief of this potentially economically important post-operative pain in calves."

Reference

1. JF Coetzee et al. BMC Vet Res 2012;8(1):153 

Ines Carrera MRCVS, who holds the European Diploma in Veterinary Diagnostic Imaging, has joined the six-strong imaging team at Solihull-based Willows Veterinary Centre.

Ines, who graduated from the University of Santiago de Compostela in Spain in 2001, has spent the last seven years working at universities in America, Australia and Europe. She undertook her PhD in MR spectroscopy of the brain in dogs at the University of Bern-Zurich in Switzerland. She has a Masters in Radiology from University of Glasgow. She has also worked at the University of Illinois and Sydney University.

Willows clinical director Toby Gemmill said: "Ines is highly qualified and highly regarded, so is a very welcome addition to our talented imaging team. Her experience of working around the world will also be a terrific asset to the practice."

Ines said: "I am very happy and honoured to be joining Willows and to now be part of such a great diagnostic imaging team. "This is a well-known centre of excellence and I’m really looking forward to helping deliver the first class care and treatment that Willows always aims to provide."

For more information, visit www.willows.uk.net.

The British Veterinary Association has launched Brexit and the Veterinary Profession, a report which lays out the association's key recommendations for the forthcoming Brexit negotiations.

The report, which was developed in consultation with BVA members, devolved branches, BVA specialist divisions and other stakeholders, outlines the essential role that the UK veterinary workforce plays in not only caring for animals, but in enabling trade, ensuring food hygiene and safety, and undertaking cutting-edge research.

Non-British EU veterinary surgeons are critical to the UK veterinary workforce. Around 50% of veterinary surgeons registering to practise in the UK each year come from overseas, with the vast majority of these coming from the rest of the EU. Yet one-fifth of vets are already reporting that it has become harder to recruit since the EU Referendum.

To secure the best possible outcomes for animal health and welfare, public health, and the veterinary profession, Brexit and the veterinary profession sets out 52 recommendations for the short, medium and long term, including calling on the next Government to:

• Guarantee working rights for non-British EU vets and veterinary nurses (VNs) currently working and studying in the UK, and for British vets and VNs working in the EU, at the existing level and with no time limit, to ensure the need for veterinary services can be met.
• Maintain, and seek opportunities to improve, current animal health and welfare standards and prioritise them in all trade negotiations to ensure that a high standard of animal health, welfare and food hygiene is a unique selling point for the UK.
• Commit to maintaining a single standard for meat produced for both domestic and export markets based on current standards of food hygiene legislation and enforcement, including veterinary certification and controls.
• Negotiate to establish formal links with the EU on disease surveillance, to ensure reciprocal data sharing with Europe is maintained.
• Guarantee the UK veterinary profession ongoing access to all existing veterinary medicines licensed through the EU regulatory systems in order to meet animal health requirements, whilst continuing to play a leading role in tackling antimicrobial resistance internationally.
• Develop a regulatory and legislative framework to ensure the UK continues to be a globally attractive place for research and development (R&D).
• Establish a body to oversee and coordinate animal health and welfare policy across the four administrations of the UK and facilitate partnership working between industry and government to tackle endemic disease and animal heath challenges.  

BVA President Gudrun Ravetz said: "Vets provide the foundation for the UK’s work on animal health and welfare. Veterinary teams up and down the country support the UK’s 11 million pet-owning households; not a penny of the UK’s £13 billion agri-food industry could be realised without vets; and we are an integral part of the international scientific community, annually bringing in over £50 million for research and development projects.

"The veterinary profession is in a unique position from which to offer the next Government evidence-based policy recommendations to ensure animal health and welfare, public health and other standards are at the very least maintained as we exit the EU. 

"We believe Brexit also presents us with opportunities, for example, to develop a strong, competitive food industry with full consumer confidence at home and abroad as well as to position the UK as a world leader in high animal welfare - and a strong veterinary workforce is vital in achieving this."

Brexit and the veterinary profession was developed and written by the BVA Brexit Working Group, under the chairmanship of Alick Simmons, former UK deputy Chief Veterinary Officer, and was agreed by BVA Council in April.

The report builds on BVA’s Brexit Principles, agreed by Council in September 2016, and covers seven areas of public policy: veterinary workforce, animal health, animal welfare, food hygiene and safety, veterinary medicines, research and development, and trade.

Two further sections of the report consider issues relating to devolution and to Northern Ireland’s unique position as the only part of the UK to share a land border with an EU member state.

With a snap General Election due in five weeks’ time, BVA has produced a 20-point manifesto of key recommendations covering both Brexit and wider policy issues, which has been sent to the main political parties’ manifesto-writing teams and to BVA’s Honorary Associates.

Brexit and the veterinary profession and the manifesto for the 2017 General Election are available at: www.bva.co.uk/brexit.

The Bella Moss Foundation (BMF) has announced the launch of a mobile app version of its online veterinary practice hygiene audit.

The app, which was developed with the help of Ceva Animal Health, is now available to download free from Google Play (for Android-based smartphones) and itunes.

To download the audit app for iOS visit: https://itunes.apple.com/gb/app/bella-moss-foundation-practice/id1096044355

To download the audit app for Android visit: https://play.google.com/store/apps/details?id=thebellamossfoundation.bmfhygieneself_auditapp 

The original online check list, which continues to be hosted on the BMF website, was devised by BMF's team of clinical advisers, including VN Louise O'Dwyer and vets Pam Mosedale, Tim Nuttall and Chris Laurence. It enables staff to rate hygiene protocols across every area of their practice, resulting in a room-by-room percentage hygiene score, as well as an overall contamination risk score.

Since its launch last year, more than 150 practices have used the web-based tool and BMF hopes many more practices will download the app and use it regularly to check and maintain their hygiene standards.

BMF founder and infection control campaigner Jill Moss said: "We are absolutely thrilled to have teamed up with Ceva to create this new super-accessible app version of our audit tool. We've been really pleased to see uptake of the Practice Hygiene Self-Audit online, and hope more practice staff give the smartphone app a go.

"While we all know how important infection control is, sometimes it's the basics that get forgotten in a busy practice environment – but now, with our free audit app in your pocket, implementing good hygiene processes could not be easier, so there's no excuse!"

For more information about BMF, visit www.thebellamossfoundation.com or visit http://www.thebellamossfoundation.com/practice-hygiene-self-audit/ to complete the hygiene audit online. 

Jane Feneley MRCVS from Summerhill Veterinary Centre in Norfolk has been recognised as the UK’s first Master General Practitioner (GP) in small animal surgery by the ISVPS.

Jane, who has also just been appointed to chair IVC's Small Animal Clinical Board, was awarded the certification in recognition of her dedication to professional development, having achieved 180 post graduate points for the Masters level award.

Jane already holds a PG certificate in Emergency Medicine and Surgery, a postgraduate diploma in Advanced Veterinary Practice Sciences, GP certificates in Small Animal Surgery and Advanced Small Animal Orthopaedic Surgery and a Focus Certificate in Veterinary Arthroscopy.

She is also an RCVS advanced practitioner in small animal surgery and in emergency medicine and critical care and is currently studying for further certifications in pain management and small animal musculoskeletal ultrasound.

Jane said: "I have always loved learning, and CPD has been incredibly important throughout my career to date.

"I’ve worked hard over the last 35 years to gain additional qualifications and to take advantage of every development opportunity I could to build on my own knowledge and capabilities.

“I very much look forward to sharing this experience and working with the rest of the board to support our small animal colleagues across IVC Evidensia in providing the best possible standards of care.”

The Royal College has announced the winners of the 2009 RCVS Council and VN Council elections.

This year, a special elections section was set up here on VetSurgeon.org and on VetNurse.co.uk for members to engage directly with candidates in a members forum, or directly using the social networking features on both sites. In the interests of promoting democracy, the sites offered a case of champagne to the voter who started the forum discussion which generated the greatest number of responses. Over the course of the voting period, these sections received over 23,000 page views, 53 questions for candidates, and 650 responses.

Arlo Guthrie, Editor of VetSurgeon.org and VetNurse.co.uk said: "I think it's great that the candidates agreed to try this. They could have said no, and stuck with the traditional methods of communication (which are more of a known quantity). Instead, they really got stuck in to some interesting and at times lively debate. My sincere thanks to all candidates and congratulations to the winners. And I raise my glass to Phil Elkins, who wins the case of champagne for starting the most active discussion thread, even allowing for the number of times he responded to his own post!"

Voting in the RCVS Council election increased from 17% to 18.2% this year, with 4,041 veterinary surgeons out of a possible 22,201 casting a vote. The results are as follows:

NUTE, Patricia Jill. 2,467 votes. Elected
JINMAN, Peter. 2,346 votes. Elected
GRAY, Christopher John. 2,230 votes. Elected
DAVIES, Jeremy Vincent. 2,229 votes.  Elected
VINER, Bradley. 2,123 votes. Elected
TUFNELL, Christopher Wynne. 2,088 votes. Elected
SWAYNE, Nigel. 1,673 votes. 
McDOWELL, David Michael. 1,394 votes.
LONSDALE, Thomas. 389 votes.

The new Council members are Christopher Gray and Christopher Tufnell, who will officially join Council at RCVS Day on 3 July 2009.

The VN Council elections saw a larger increase in voters, with 912 out of a possible 8,108 VNs casting a vote. This was an 11.2% turnout, up by nearly 25% up on last year. The results were as follows:

JEFFERY, Andrea Karen. 604 votes. Elected
GLYSEN, Louise. 332 votes. Elected
WILLIAMS, Caroline Mary. 312 votes.
IVES, Cheryl Diana. 236 votes.    

Louse Glysen is the new VN Council Member (again, officially joining at RCVS Day) and Andrea Jeffery will begin her eighth year, having been the Council's chairman for the past four years.

Cats Protection is calling for an urgent shift in pet owners' thinking in order to control the UK's cat population, after being inundated with thousands of unwanted kittens again this summer.

The charity is urging owners to neuter their cats at four months of age - two months earlier than the traditional six months - because this is when cats reach sexual maturity.

The call follows a recent survey carried out by the charity which found that just 4% of people neutered their cat at or before the recommended four months.

Each year, Cats Protection takes in thousands of unwanted or abandoned kittens which are the result of unplanned breeding so the charity is keen to make cat owners aware of the need to neuter.

 Jane Clements, Cats Protection's Neutering Manager said: "Getting the neutering message across is proving to be a very tough hurdle for cat welfare because our research shows the vast majority of people are still not neutering their cats early enough to avoid unwanted litters of kittens.

"Without neutering, the UK's cat population quickly gets out of control and each summer we are overwhelmed with kittens in need of homes so it is vital people ensure their cats are neutered at the correct age to prevent unwanted litters."

While the lack of early neutering was a problem across Britain, the survey found the ITV Yorkshire and ITV Central areas are the least likely to neuter at the recommended age, both with just 1% of cats neutered at or before four months. 

Cats Protection is planning to open a new homing centre later this year in Gildersome, Leeds, Yorkshire, and it is hoped its presence there will raise awareness of the need for better cat welfare and early neutering. The centre will find homes for around 500 cats each year, increasing the charity's work in the region by up to 68 per cent. Information about the new centre can be found by visiting www.cats.org.uk/support-us/future-for-cats/gildersome-homing-centre.

The charity is also embarking on a large scale neutering campaign in North Birmingham, which it hopes will help to raise awareness of the issues in the area.

Cats Protection runs a national register of veterinary practices that carry out neutering at four months of age. To register your practice, please visit the website at www.cats.org.uk/early-neutering

The University of Bristol's School of Biological Sciences has published* the results of a study which concludes that young dogs and those that are not wormed regularly are significantly more likely to be infected with the life-threatening, parasitic lungworm, Angiostrongylus vasorum.

In the independent study, which was led by Dr. Eric Morgan,  the faeces of 900 dogs was tested to look for factors which may increase a dog's risk of infection and to identify signs of infection. Lungworm was found to be a common cause of disease in Southwest England and Wales - 16 per cent of dogs presenting symptoms tested positive for lungworm, as well as 2 per cent of seemingly healthy dogs.  However, this is likely to be an underestimate. Dr Morgan said: "We used the Baermann's test to identify infected dogs, which is thought to be only 50% accurate, so the true figures may be as much as double those reported."

Dogs under 18 months were found to be 8 times more likely to have lungworm than dogs over 8 years old, and dogs between 18 months and 8 years old were 4 times more likely to have lungworm than dogs over 8 years old.  Dogs tested positive for lungworm year-round but there was an increase in numbers diagnosed during the winter and spring.

According to Dr. Morgan, infected dogs may display a wide range of symptoms: while over half of infected dogs were reported to be coughing or having difficulty breathing, lungworm infection is not always associated with respiratory signs. Infected dogs may present any combination of a wide range of symptoms including lethargy, tiring easily with exercise, and gastrointestinal signs such as vomiting and diarrhoea.  A significant number of infected dogs displayed signs of bleeding disorders such as excessive bleeding from small wounds or following surgery, blood in the urine and vomit, pale skin and bleeding in the eyes and skin.

Dr. Morgan added: "This parasite is spreading, reaching many new areas (including Bristol and Scotland) in the last few years.  Disease can present in a variety of ways, not necessarily involving respiratory signs, so pet owners and their vets should be aware of the risk.  Disease is most common in younger dogs, though age is not a barrier to infection.  On the bright side, dogs that are treated regularly with appropriate wormers are at lower risk, so we can act to protect our pets' health."

*Morgan, E. R., Jefferies, R., van Otterdijk, L., McEniry, R. B., Allen, F., Bakewell, M. and Shaw, S. E. 2010. Angiostrongylus vasorum infection in dogs: Presentation and risk factors. Veterinary Parasitology. doi:10.1016/j.vetpar.2010.06.037

Kellie Price, a Kent-based Registered Veterinary Nurse has been suspended from the Register for nine months by the RCVS RVN Disciplinary Committee after she admitted dishonestly creating four prescriptions, one of which was then fraudulently presented to a pharmacy.

The Committee heard that in January 2013, Miss Price, who did not attend the hearing and had no representation, had dishonestly created a prescription for two inhalers while working at a veterinary practice in Kent.

This prescription had been written and signed in the name of a locum veterinary surgeon, Cristiana Tudini MRCVS, without her knowledge or consent. The false prescription was subsequently presented to a pharmacy for dispensing.

In addition, in March 2013, Miss Price dishonestly created a further three prescriptions - one of which was written in the name of her colleague Cormac Higgins MRCVS, and two written in the name of Cristiana Tudini MRCVS without either's knowledge or consent. All four false prescriptions had been made out for Miss Price's Jack Russell terrier.

Upon discovering the false prescriptions, Mr Higgins asked Miss Price for an explanation and subsequently suspended her from her position pending further investigation. However, after being interviewed by Mr Higgins, she resigned before any in-house disciplinary hearing could take place. The allegations were then reported to both the RCVS and the police, the latter giving Miss Price a formal caution in respect of the false prescription made in January 2013.

In considering Miss Price's sanction, the RVN Disciplinary Committee took into account a number of aggravating and mitigating factors. In mitigation, it accepted Miss Price's explanation that, in the early hours of 6 January, she had suffered an asthma attack and that she had created the false prescription at work in a panic after realising her inhaler was empty and fearing a further asthma attack. The Committee also took into account a witness statement from Cormac Higgins MRCVS which described her as a "great nurse" and "good with patients and clients".

However, the Committee also considered aggravating factors including Miss Price's dishonesty and the fact that she then made further false prescriptions in March, although these were not then presented to a pharmacy.

Professor Noreen Burrows, who chaired the RVN Disciplinary Committee and spoke on its behalf, said: "The Committee is... satisfied that the admitted dishonesty amounts to disgraceful conduct in a professional respect [and] is satisfied that the respondent's conduct fell far short of the conduct to be expected of a registered veterinary nurse."

On deciding the sanction she added: "Taking into account all of the circumstances, the Committee has concluded that the suspension of the Respondent's name from the Register for a period of nine months is the proportionate sanction in this case."

The Committee's full findings and decision are available on the RCVS website (www.rcvs.org.uk/disciplinary).

Anderson Moores Veterinary Specialists in Winchester has confirmed three new cases of the potentially fatal cutaneous and renal glomerular vasculopathy (CRGV), aka Alabama Rot. 

The disease, which originally appeared in the late 1980s, was first detected in the UK in 2012. It affects the kidneys and has a 90% mortality rate.  

The team at Anderson Moores, which has been leading research into this disease, wants to alert colleagues to these new cases, which have been confirmed since 1st January.

By comparison 18 cases were reported in the whole of 2018, 19 in 2019, and 47 in 2020.

The new cases have been identified in Herefordshire, Greater London and Exeter. 

David Walker, American, RCVS and EBVS European specialist in small animal internal medicine, leads the team at Anderson Moores Vet Specialists and is the UK’s foremost authority on the disease. He said: “We’re very sad to confirm three new cases of CRGV already in 2021. Unfortunately, we find ourselves at the time of year when cases are most commonly identified.

"As well as these confirmed cases, we are awaiting results on a number of other dogs that have sadly been euthanised with suspected CRGV. It is understandably a worrying time of year for dog owners with regards to CRGV; however, the disease remains rare. 

"We’re advising dog owners across the country to remain calm but vigilant and seek advice from their local vets if their dog develops unexplained skin lesions.” 

Previous cases have been identified in Gloucestershire, Surrey, Derbyshire, Yorkshire, Lancashire, Cornwall, Devon and Staffordshire. 

Mr Walker added: “If a dog becomes affected by CRGV, the best chance of recovery probably lies with early and intensive veterinary care which may be best provided at a specialist facility such as Anderson Moores. 

“Treatment primarily revolves around intensive management of the acute kidney injury and is sadly only successful in around 10% of cases. 

“However, the team here at Anderson Moores successfully treated a suspected case of CRGV in a Labrador Retriever. Molly was referred to our internal medicine team just before Christmas due to limb swelling and a deep, painful ulcerative lesion on one of her legs. 

“Following four days’ intensive treatment, her condition started to improve and we began to cautiously hope she would survive the disease. 

“Molly continued to slowly improve and, after two nerve-wracking weeks, she was discharged to continue her recovery at home."

To find out more about CRGV, visit www.andersonmoores.com and the Alabama Rot Research Fund at www.arrf.co.uk. 

David Barratt MRCVS, Professor of Bovine Medicine, Production and Reproduction at Bristol University and President-Elect of the BCVA, says that voluntary reductions in the use of Critically Important Antibiotics (CIAs) must be accelerated to future-proof the UK cattle industry against the threat of legislation and regulation.

Speaking at the MSD Animal Health sponsored National Mastitis Panel, David said that more widespread understanding of the issues is urgently required particularly amongst farmers and cattle vets if real progress is to be made. 

David said: "There are some notable examples of veterinary practices that have worked with their clients to eliminate the use of CIAs. These are the exceptions, but they illustrate what is possible. As an industry, we need to speed up the rate of change and make a concerted effort to ensure more responsible use of antibiotics becomes the norm, sooner rather than later."

David quoted the British Cattle Veterinary Association (BCVA) position on the responsible use of medicines, which includes the recommendation of minimal use of third and fourth generation cephalosporins, fluoroquinalones and colistin, with these CIAs being limited to use where it has been demonstrated by sensitivity testing that they are the only suitable option to avoid unnecessary suffering. 

"There has been agreement on this position amongst the veterinary associations, farmer organisations and milk buyers, but there needs to be more widespread awareness at producer level, particularly within the vet and farmer relationship. 

"Farms with a robust herd health plan, where challenges are reduced, will be in the best position to minimise use of CIAs. This takes time and is most effective where there is good cooperation between the farm and its veterinary practice.

"Achieving a significant reduction in the use of CIAs voluntarily will not only minimise the likelihood of disruptive and potentially punitive legislation but will put our cattle industry on the front foot and strengthen its position in global markets."

Virbac Animal Health has launched Allerderm, a topical spot on product designed to rebuild the epidermal barrier in dogs and cats with skin problems.

According to the company, Allerderm Spot-On contains a mimic of the normal lamellar lipids found in the stratum corneum: essential fatty acids, ceramides and cholesterol.

Virbac Product Manager Chris Geddes MRCVS said: The "outside-in" theory of inflammatory skin disease is now widely accepted - that is, the belief that a faulty epidermal barrier is the primary problem, allowing penetration of allergens which then triggers inflammation in the underlying skin.

"A healthy epidermal barrier is designed to keep in water and moisture, and keep out allergens and pathogens. The 'barrier repair' approach has been developed in human medicine and is now proving true in companion animal care.

"It is currently possible to help restore this barrier with oral essential fatty acid supplements like Complederm and with Allermyl shampoo, but this is an exciting new addition to the armoury."

Mr Geddes added: "In a study of allergic dogs¹, researchers found that Allerderm spot on caused the level of lipids on the stratum corneum to return to almost the level of normal dogs." 

Allerderm Spot-On is applied along the back of the dog or cat initially at weekly intervals, eventually reducing to monthly applications. It is available in packs of 6 pipettes in 2ml (suitable for cats and dogs less than 10kg) and 4ml (suitable for dogs over 10kg).

For further information on Allerderm Spot-On, contact your local Virbac territory manager or call Virbac on 01359 243243.

Reference
1. Effects of a Topically Applied Preparation of Epidermal Lipids on the Stratum Corneum Barrier of Atopic Dogs, A. Piekutowska, D. Pin, C.A. Réme, H. Gatto and M. Haftek, Journal of Comparative Pathology 2008, Vol. 138, 197-203