Fort Dodge Index (FDI) data for the first six months of 2009 confirm the downward trend in key veterinary practice metrics, including turnover growth, transaction volume and client numbers with a national picture emerging of much slower growth than the same time last year. The one mitigating factor continues to be an increase in the prices charged by practices for their services, which is leading to a small increase in average transaction values.
The FDI (www.fortdodgeindex.co.uk) analyses and benchmarks the performance of practices across the UK. Figures for the first half of 2009 confirm the trend, seen for some time, of static or steadily declining performance in key areas for practices. The national picture of turnover growth and its components for the period January-June 2009 shows that:
Patrick Traill, Corporate Account Manager at Fort Dodge, said: "While some practices are continuing to report busy months and high turnover, it's clear that many are experiencing a rough ride as the recession in the wider economy affects the spending power of pet owners.
"The key challenge is that profits are being eroded at a time when turnover is also being seriously hit. The only impetus for growth so far this year has been the increase in consulting, surgical and drug fees and this alone will not help practices plan for a secure future.
"The latest FDI data confirms a trend which we've been reporting for some time and we urge those who haven't yet taken action to do so without delay. While capturing new clients will always be fundamental to growth, in these times reducing client losses is equally critical and resource may well be better spent on plans that support client retention.
"Practices should also be considering initiatives to increase client visit frequency and support client bonding. Examples could include preventative health schemes and loyalty programmes. Finally, practices could also explore avenues to increase annual transaction value through the promotion of new products and services.
"Joining the FDI is an effective way for practices to benchmark their performance both against others in their locality and across the UK. Full details on the FDI, the benefits it offers to practices and how to join are available on our newly re-designed website. Full copies of the FDI report can also now be downloaded on a quarterly basis."
A copy of the latest FDI report is available for free download at http://www.fortdodgeindex.co.uk/. Further information on how to join the scheme is available from Fort Dodge on 01489 781811.
The Office of Fair Trading has concluded that it has no grounds to take action against IDEXX Laboratories Limited following an investigation into alleged abuses of a dominant position in the veterinary diagnostic testing sector.
The OFT opened its investigation in November 2010 after it received a complaint alleging that IDEXX was abusing a dominant position in the market for the supply of in-clinic pet testing equipment in order to foreclose competition.
The conduct assessed by the OFT included alleged practices of:
The full reasoning for the OFT's conclusion, including details of the methodologies used by the OFT to assess potential theories of harm relating to alleged mixed bundling (also known as multi-product rebates) and alleged predatory pricing in systems markets, is available from the OFT's website, here.
BCF has announced a number of special deals available on a variety of ultrasound and X-ray products.
With the launch of the new Mindray DP-50 ultrasound scanner, available exclusively from BCF, the company is offering a free trolley and a year's supply of gel.
If you buy a Carestream Vita CR X-ray system and generator from BCF, the company will update your X-ray protection with 3 gowns and 2 thyroid protectors (worth £600, €750) free.
Purchase an Easi-Scan with one battery, and you'll get a second battery and carry bag for free.
Buy an equine DR X-ray system and you'll receive £1,000 (€1,250) to spend on Podoblocks accessories.
Call +44 (0)1506 460 023 or visit www.bcftechnology.com for further information. Offers valid until 31st June.
According to the company, information on best worming strategies for foals and yearlings remains largely anecdotal, making it difficult to develop a clear plan for this age group. Zoetis veterinary surgeon Wendy Talbot has therefore reviewed the recent literature to develop an eight-point plan.
Explaining the guidance, Wendy writes:
Foals and yearlings are usually more susceptible to worms than are adult horses because they have had little chance to develop any immunity. They are more vulnerable to related diseases and tend to have higher egg shedding, which increases the risk of infection. The main parasitic culprits in the UK for foals less than six months of age are large roundworms (ascarids). In older foals and weanlings, small and large strongyles, tapeworms (and pinworms) are the main considerations.1 Yearlings may also have a second wave of large roundworm infection at 8-10 months of age.2 Any control strategy will need to take into account the individual circumstances such as stocking density, pasture management and previous disease history.
Guidelines for parasite control in foals suggest a first treatment with fenbendazole at 2-3 months of age, targeting large roundworm, followed by another treatment at 5-6 months. Alternatively, pyrantel may be considered for these doses; however, there may be resistance in some areas and foals with large adult ascarid burdens may be at higher risk of intestinal rupture when this drug is used.4 At weaning (approximately six months of age), it is advisable to perform a faecal worm egg count (FWEC) to determine if treatment for strongyles is also required; the macrocyclic lactone anthelmintics (ivermectin or moxidectin) are expected to have the highest efficacy. At 9 and 12 months of age treatment for stronglyes and a larvicidal dose for encysted stages of small strongyles (moxidectin or a 5 day course of fenbendazole) are indicated. A tapeworm treatment should be included with one of these doses.2,3
For yearlings, two methods have recently been proposed for worm control: the first involves using faecal worm egg counts (FWECs) at more frequent intervals than for adults to guide dosing for strongyles in the grazing season.1 The second suggests three baseline treatments targeting strongyles in spring, summer and late autumn, with FWECs in between to identify and treat any still shedding high numbers of eggs, up to a maximum of six treatments per year.2 Macrocyclic lactones have the highest expected efficacy against small strongyles and should form the basis of treatments; however, pyrantel can be considered for some treatments where it has been shown to have continued efficacy. Both strategies include a larvcidal treatment for encysted small redworm combined with testing or treating for tapeworm in late autumn. The inclusion of one or two doses of a macrocyclic lactone each year (usually already used for small strongyle control) should be sufficient to prevent large strongyle related disease.3
The wide differences in the circumstances of foals and yearlings, together with geographical variations in resistance patterns and a lack of consensus on best practice in this group means it is not possible to define a single approach to a worming plan. An important point to note is that FWECs may give surprising results because higher counts are generally seen in youngstock.
Eight ways to keep clients' youngstock worms controlled:
For further information on worming together with some equine specific CPD visit: https://blog.vetsupportplus.com/
Simon, who has worked at DWR for 15 years, graduated from the University of Cambridge in 2002 before completing his residency in small animal medicine and intensive care at the University of Bristol.
He gained his European diploma at Bristol before moving to DWR in October 2007, where he has since been widely published and lectures at home and abroad on infectious disease, acute medicine and interventional radiology.
Simon is also a veterinary advisor to the Pet Blood Bank charity and was awarded fellowship of the RCVS through meritorious contribution to clinical practice in 2018.
Simon said: “It’s a huge privilege for me to take up the position of clinical director at Dick White Referrals, having worked here and helped the practice grow over the last 15 years.
“I’m really looking forward to leading the move into our new building, which offers state-of-the-art facilities for pets, owners and the team.”
Simon said one of his ambitions as clinical director was to foster DWR’s residency and intern programmes to be “the very best place to come and learn from some of the most talented vets and nurses in the profession”.
He added: “We have very successful and well-established rotating internship and residency programmes in many areas and this year we add emergency and critical care to that list.”
Perhaps the biggest initiative thus far has been the installation of solar panels which meet the electrical needs of the 25 vets, nurses and support staff at its Kirriemuir branch.
In recent months, the group has also invested in a water purifier and oxygen generation system, installed composting bins made from recycled pallets and changed food packaging to eco-friendly and recyclable materials.
Compostable paper towels are now being used across the practices and, through a partnership with PetsApp, appointment reminders, invoices and receipts are sent electronically.
Anything that does have to be printed is printed on FSC certified paper.
Eco-friendly cleaning supplies and sustainable office products are also being sourced from local suppliers.
Other initiatives include avoiding single-use plastic wherever possible, using water butts to collect rainwater for watering plants and washing vans, and planting wildflowers to encourage wildlife.
The group has also installed energy-efficient LED lighting, along with a system to prompt people to turn off lights, and is currently switching signage lighting to LEDs.
Katrin Lewis said: “As we celebrate our 75th anniversary this year, we’ve clearly always been committed to providing the best care for our clients, but it’s vital that this also extends to the impact we have on the planet.
"We’ve therefore embarked on green mission to ensure our practices are as sustainable as possible.
“We’ve also taken inspiration and advice from practices within XLVets, the community of independently-owned veterinary practices that work collaboratively for the greater good of the industry.
"This has helped us to share best practice when it comes to sustainability and make further improvements to our procedures.
“We now have colleagues from all four of our practices in the green team and we’re continually looking at new ways of improving our green credentials.
"Even simple things like using spare Loxicom syringes for lab work, and washing lines instead of relying on tumble drying, as well as redesigning our recycling plan, are making a noticeable and positive difference.
“Since the start of the year, we’ve significantly reduced our carbon footprint and we’re now looking at a number of other exciting initiatives that we’ll be ready to unveil in the coming months.”
Petsavers, the charitable division of the BSAVA, is calling for entries to its 2012 digital photography competition, this year themed 'Best Buddies'.
The competition is open to entries from pet owners and veterinary professionals alike. The judges will be looking for qualities like humour and character in the photos, as well as photographic skill.
If you need a little inspiration, you can see the winning images from previous years on the BSAVA website.
The competition has two categories: Adult (16 and over) and Junior (under 16). First prize in each category is £200 in photography vouchers, second prize is £100 in photography vouchers and third prize is £50 in photography vouchers. The closing date is Thursday 26 January 2012. To enter the competition, email your photographs to info@petsavers.org.uk. An application form must also be submitted; this can be emailed with your photograph or alternatively you can print and fax the form to BSAVA at 01452 726701.
Petsavers is also encouraging practices to help promote the competition by displaying leaflets in practice, and telling clients about it.
More information is available by emailing: info@petsavers.org.uk or visiting www.petsavers.org.uk/.
Elanco Companion Animal Health has announced that Comfortis (spinosad) flavoured chewable flea control tablets have been licensed for cats.
In addition, the company has extended its range with the addition of two new sizes for toy dogs and smaller cats.
Comfortis chewable tablets for dogs and cats are fast-acting, monthly oral adulticides that start to kill fleas in cats and dogs in 30 minutes and, according to Elanco, rapidly achieve 100% efficacy.
Comfortis chewable tablets for dogs and cats kill adult fleas for a month and Elanco says the fast speed of kill means that adult fleas are killed before they can lay eggs, making Comfortis effective in preventing new infestations.
Patrick Bourdeau, Dip ECVD-Dip EVPC, of the Veterinary School of Nantes (Oniris), France said: "Comfortis offers a highly effective format to those owners who have not had relief with other forms of flea control. The tablet offers a high level of convenience to owners to ensure both cats and dogs receive immediate relief from flea infestation.
"This is especially pertinent to the nearly 30% of cat owners who have reported problems with administering other forms of flea treatment, including spot-ons, which can have an effect on efficacy1. This includes the animal escaping when they sense a topical treatment is about to be administered or during actual administration3".
He added: "Comfortis is a highly effective treatment for flea control for cats and dogs, and one that will aid with compliance because it is easier to administer correctly."
Charlotte Mayne MRCVS, principal and veterinary surgeon at The Mayne Veterinary Clinic in Colchester, Essex, said: "We have used Comfortis chewable tablets for cats in practice, with 94% of clients who were prescribed the product for their pet being able to administer Comfortis and 80% of owners able to give the treatment so easily that they did not need to pill it2. Indeed, all the clients who were able to administer the treatment said they would use it again with comments such as 'it's brilliant - the best product ever' to 'my cat ate it like sweets' and we had 'lots of dead fleas'."
Comfortis chewable tablets for dogs and cats are available in 90mg, 140mg, 270mg and 425mg packs of six. Comfortis chewable tablets for dogs is also available in 665mg, 1040mg and 1620mg packs of six.
For further information on Comfortis, please contact your Elanco Companion Animal Health key account manager or phone 01256 353131.
References
The British Veterinary Association has expressed concern about an increasing trend towards temporary contracts for new graduates following the release of headline figures of a survey by the Institute for Employment Studies on behalf of the RCVS.
The survey showed that the percentage of graduates leaving their first job within the first three months has significantly increased for those who graduated in 2012 and who have already left their first position. Amongst vets who graduated in 2010 and had already left their first job 7.7% had done so within the first three months; for 2011 graduates this figure is 15.9%; and for 2012 graduates it is currently 42.6%, although this percentage is likely to decrease over the next year as more of the 2012 cohort leave their first roles. The two main reasons given for leaving first jobs are poor management and temporary contracts.
Besides this unexpected increase the survey showed little change in other areas for recent graduates, although there has been a slight increase in the amount of time taken for new graduates to find their first job. The survey also revealed that over the 5 year period 16% fewer graduates found jobs in under 3 months.
BVA President Peter Jones said: "Information in this survey and that conducted by the British Equine Veterinary Association recently is valuable evidence of how the changing environment affects those entering our profession and will feed into the on-going discussion at BVA on veterinary workforce issues.
"Perhaps most worrying is the statistic that the percentage of graduates leaving their first job within the first 3 months has significantly increased. The main reasons cited are poor management and temporary contracts. The trend towards temporary contracts is very worrying in terms of job security for those just starting out in our profession.
"Poor management has long concerned the BVA and is what initially led us to establish initiatives such as the Young Vet Network, the recent graduate guide and our contracts of employment campaign. We are currently working on building that support and we are in the process of widening the network of graduate support meetings to help with moral support and networking opportunities. We also supporting the RCVS's Professional Development Phase to support new graduates in their first few years of practice and have produced a number of resources to assist with this process."
While the results show little evidence of a major impact on job prospects from the increase in graduates since the opening of Nottingham Veterinary School, BVA members remain concerned about the impact of a new school opening next year such as the one planned at the University of Surrey.
Peter Jones continued: "It is reassuring to see that overall trends are not changing significantly, however, the ease with which our graduates are getting jobs is changing. We will therefore be considering in some depth the impact that two, three or more new veterinary schools could have in the future. Rumours of yet more new veterinary schools elsewhere are a serious worry for the profession.
The company, which until now has only offered loans to practice clients for veterinary treatment, is now offering practice staff loans of £1,000-£25,000 for periods ranging from 1-5 years at an APR from 7.9%, with joint applications acceptable.
Stewart Halperin, BVMS, MRCVS, founder and CEO of CarefreeCredit (pictured right), said: "I first started the company to enable other vets to provide interest-free loans to clients facing large bills for uninsured pets.
"Since then, I’ve been thinking of other ways to help practice staff in our profession and realised a quick and simple low-cost loan facility would be a great way to go beyond helping their clients to helping the staff themselves in their daily lives.
"Now, with just a simple phone call taking just 5 minutes, veterinary staff can easily access the finance they want for whatever purpose they need."
For further information call 0345 313 0177.
The study, Urinary incontinence in bitches under primary veterinary care in England: prevalence and risk factors, which will be published in the Journal of Small Animal Practice, also found that other factors such as weight, neuter status and age also play key roles.
The authors hope that the study findings will provide an evidence base that allows veterinary surgeons to enhance their clinical recommendations for higher risk bitches.
The study was based on a population of 100,397 bitches attending 119 veterinary clinics across England. The main findings included:
The study also gave evidence on the welfare impact from urinary incontinence. Almost half of cases (45.6%) received medical therapy for the condition. In addition, of the bitches that died during the study period, urinary incontinence was recorded as either contributory or the main reason for death in 16.7 % of these deaths.
RVC veterinary epidemiologist and VetCompass researcher Dr Dan O’Neill said: "This urinary incontinence study has uncovered dramatic breed predispositions that have previously been hidden to vets and owners.
"Overall, about 3% of bitches were affected but this rose to over 30% in the Irish Setter and over 20% in the Dobermann with many other breeds also predisposed.
"Vets can now use these results to alert owners to typical clinical signs in order to ensure earlier treatment and better outcomes. The study also suggests increased risk in heavier and neutered bitches.
"Following on from this study, a VetCompass Masters project supported by BSAVA PetSavers is working to unravel these associations in order to identify potential preventive strategies, especially in those highly predisposed breeds."
The paper is available in Early View on Wiley Online Library ahead of publication in the JSAP at http://onlinelibrary.wiley.com/doi/10.1111/jsap.12731/full
Reference
Photo: ©Diane Peace Collection / The Kennel Club
The new ISFM Academy of Feline Practitioners is a body of dedicated veterinary surgeons from all over the world who have further qualifications in feline practice or medicine, or have specialised in disciplines that complement the focus of ISFM.
Members will have the opportunity to discuss publications, investigate cases with colleagues, collaborate on research, talk about developments, and forge links between themselves. The charity says it will be a forward-thinking coalition that will actively seek to advance developments in medicine. Any vet that meets the requirements of the academy can join.
To complement the veterinary expertise in the Academy of Feline Practitioners, the charity has also developed the iCatCare Feline Wellbeing Panel. The panel is an international coalition of experts who come from different professional backgrounds but who all specialise in some form in the mental wellbeing of cats.
The purpose of the panel is to help those working and caring for cats in all the various settings to understand their behavioural, emotional and cognitive capabilities and needs in order to be able to promote their mental wellbeing and ultimately protect their welfare.
Such settings include people’s homes, in catteries, in veterinary clinics, and in homing centres and on the streets. Through the sharing of initiatives and information in a confidential space, iCatCare says this will be a collaborative effort that will advance the accepted understanding and common practices in a way that would be impossible to do individually.
CEO, Claire Bessant (pictured right) said: "By working together, gaining input from great people and enabling all those who work with cats to grow their expertise, iCatCare can deliver on its mission to create a world in which each cat’s life experience will be as good as it can be’. For more information about how to join the ISFM Academy of Feline Practitioners, visit: https://icatcare.org/veterinary/isfm/isfm-academy. For more information about the Feline Wellbeing Panel, visit: https://icatcare.org/about/our-expert-panel
Melvyn was instrumental in shaping the success of the Trap, Neuter, Return, method of controlling feral cat populations. After meeting 60's supermodel Celia Hammond, scientist Dr. Jenny Remfry, and Peter Neville, a research biologist for UFAW, acted on their requests for better and more humane traps and engineered his first trap - the Eziset.
Melvyn went on to develop a dog grasper and a wide range of other handling products widely used in veterinary practice. He then developed the Mikki Muzzle, on the back of which he launched Mikki Pet Products, adding a range of grooming products.
In 1998, Melvyn sold Mikki to focus on his real passion – developing high welfare animal handling equipment and products sold via MDC Exports.
Ian MacFarlaine RVN said: "His impact on the veterinary world is only eclipsed by how much of a contribution he's made to animal charities globally, not just in inventing stuff, but then discounting it readily (through good and bad economic times) and then if that wasn't enough, giving thousands of pounds worth of it away at the ICAWC conference every year.
"If you were privileged enough to know him well, then you'll miss the kindness, the mischievous humour and the occasional bad taste joke. But I can guarantee that a little bit of Melvyn is there in each and every one of your practices in the form of one piece of equipment or other."
Dr Wendy Talbot BVSc DipECEIM MRCVS, Equine National Veterinary Manager at Zoetis said: “Fast equine faecal egg count results are crucial for the appropriate and timely treatment of gastrointestinal parasites, and to detect the increasingly concerning issue of dewormer resistance in horses.
"This technology is proven to be as accurate at identifying Strongyle spp. and Parascaris spp. as a board-certified parasitologist, delivering fast, reliable and shareable results within 10 minutes.1”
Zoetis says study results have demonstrated the AI capability within the Vetscan Imagyst to be up to 99% in agreement with board-certified parasitologist results1.
This, says the company, allows for rapid identification of high shedders versus low shedders to enable strategic targeted deworming protocols to be implemented.
BCF has launched the CR7, a new dental x-ray system to add to the company's range of digital radiography equipment.
BCF describes the CR7 as a portable, desk-top sized, small format CR X-ray dental system which has been specifically designed for dental diagnosis in a veterinary practice, with intuitive operation and fast workflow integration.
Kat Evans from BCF said: "The image quality on this machine is fantastic. The CR plates are scanned at 25 line pairs per mm, giving over double the resolution of any traditional CR system. This allows for much more accurate diagnosis of dental disease. It can also be used with a normal X-ray generator."
For more information visit www.bcftechnology.com or call +44 (0)1506 460023 to arrange a demonstration. You can also join BCF on Facebook at www.facebook.com/bcftechnology
The University of Liverpool’s Philip Leverhulme Equine Hospital has installed a standing equine MRI scanner from Hallmarq Veterinary Imaging.
New research released by National Pet Month (5th April -5th May) has found that the UK’s most popular dog breed is the Labrador. There are 209 recognised dog breeds in the UK; 7.3 million dogs in total in the UK, one in ten of which is a Labrador.
The Pet Population study was conducted by leading industry body, the Pet Food Manufacturers’ Association (PFMA) for National Pet Month and reflects past research by BBC Magazines which revealed that the Andrex puppy is the nation’s favourite TV animal.
The annual Pet Population report shows that over since 2003, the Labrador population has increased by 28%.
National Pet Month culminates in Wet Nose Day on 23rd April to tie in with St George’s Day, this national event will celebrate animals great and small, and also see the launch of a photographic exhibition at Selfridges London in their pet department. The ‘Hall of Fame’ photography exhibition is part of a National Pet Month competition which ran in Your Cat and Your Dog magazines during March.
Visit http://www.nationalpetmonth.org.uk/ for more information.
Nigel Gibben said: "The Prevention Zone means anyone who keeps poultry such as chickens, ducks and geese, even as pets, must take action to stop them coming into contact with wild birds to protect them from avian flu.
"Birds should be moved into a suitable building, or if that isn’t possible owners must take sensible precautions to keep them away from wild birds, like putting up netting to create a temporary enclosure and keeping food and water supplies inside where they cannot be contaminated by wild birds.
"Even when birds are kept indoors a risk of infection remains so keepers must also practice good biosecurity, for example by disinfecting footwear and equipment and washing clothing after contact with birds.
"Recent H5N8 avian flu findings in wild birds and a backyard flock in Wales highlight just how essential it is to minimise contact between wild and captive birds and maintain good biosecurity to reduce the risk of infection.
"We must continue to be vigilant and do all we can to protect against this highly pathogenic strain of the disease, which is why we are extending the Prevention Zone, have introduced a ban on poultry gatherings and continue to strengthen surveillance to understand the extent of infection in wild birds."
The scheme uses a traffic light colour system of vaccination reminder stickers which veterinary surgeons can place on the front of passports at each vaccination appointment. If the 6-month pilot is a success, the initiative will be rolled out across the UK in the summer.
BEVA says that despite the best efforts of numerous equine welfare charities to address the obesity issue, a significant proportion of owners are either not recognising obesity in their horses, or not being motivated to take action.
For this reason, the Association decided to try and confront the problem in a different way, using knowledge gained from the Behavioural Insights Team (BIT) – a government think tank specialising in behavioural economics and psychology.
Lucy Grieve, President Elect of BEVA and part of the Association’s obesity campaign working group, said: "Determined to look at new ways to positively engage with horse owners, we harnessed the BIT’s experience of what methods work most effectively and came up with a simple, practical scheme revolving around vaccination visits, which could be affected by vets themselves."
The idea is to use the routine annual or six-monthly vaccination visit as a time to assess a horse’s body condition. After the vaccination is given and the body condition assessed, a colour-coded vaccination reminder is stuck to the front of the passport, both to remind the owner when the next vaccination is due and to start a conversation about body condition.
A green sticker indicates a ‘healthy’ body condition. Amber means the horse is carrying too much fat tissue and needs moderate changes to diet, exercise, management, rugging and clipping regimes. Red implies that the horse is carrying excessive amounts of fat tissue which are placing the horse in morbid danger.
Amber or red stickers provide the opportunity to talk about the potential impact on the horse’s health and what needs to be done.
If there isn't enough time to talk about it during the appointment, the sticker includes a colour-specific QR code which the owner can use to access additional information via their smartphone in their own time.
One of three short, colour-specific videos will explain the reason their horse has been designated the colour of sticker on their passport, leading to a link to more specific advice on what the owner needs to do next. Having swotted up on the background information beforehand, the owner can then discuss the various management options with their vet at a convenient time.
Lucy said: "The first challenge is helping owners recognise when their horse is overweight. Once this has been established then we can make a plan to correct the problem as a team.
"The owner needs to be on board and committed in order to carry out the tough task of reducing the weight of their horse. We hope that owners will be ‘nudged’ by the sticker intervention to consider the information they have been offered and start to tackle the problem before it causes life-threatening disease."
Nine equine veterinary practices were invited to participate in the pilot scheme, including Loch Leven Equine Practice in Kinross. Managing director Liz Somerville said: "We have been focusing on equine obesity for the last couple of years including running a #FitnotFat campaign last year to try to highlight the growing obesity problem in our horses. Unfortunately, it sometimes feels that we are banging our heads against a brick wall so when BEVA came up with a new approach to try and get the message through to our owners it was too good an opportunity to miss."
BEVA says that at the end of the pilot, it will assess how well the project has worked for the vets involved, what proportion of owners used the QR codes, visited the advice pages and sought guidance from their vets.
For more information, visit: https://www.beva.org.uk/Resources-For-Vets-Practices/Clinical-Practice-Guidance/Obesity-in-horses
The peer-reviewed manual, available for download from the VMG website, has been designed to be relevant for any veterinary business and has been developed following a review of the contemporary academic and business literature, with input from the VMG Board of Directors.
The Business Re-emergence Manual guides readers through three main areas that need to be considered as they emerge from lockdown:
VMG President Richard (Rich) Casey said: “Depending on the circumstances in which businesses entered the pandemic, it’s likely that they will be affected by a range of people, planet and profit-related issues as lockdown restrictions start to ease.
"Our Business Re-emergence Manual encourages veterinary leaders to take a step back and reflect on how their business was performing before the pandemic as a first step before starting to make plans for their future operations. Investing in this ‘thinking time’ now will enable them to ramp up more quickly and more effectively when the time is right. It is an evidence-based and highly practical tool which all veterinary businesses can work through and we hope they will find it useful as they start to plan for a successful future.”
To support veterinary practices and staff affected by the COVID-19 emergency, the Veterinary Management Group (VMG) is pausing subscription renewals for all of its existing members for three months, in effect, giving them three months’ free membership, including access to resources such as the Business Re-emergence Manual. It is also offering everyone in the sector the opportunity to join the association for three months, also free of charge.
The College says it will be promoting its Find a Vet search tool and its new Practice Standards Scheme (PSS) at the event, which runs from Thursday 4 to Sunday 7 August. It will also be giving career advice for prospective veterinary surgeons and veterinary nurses.
The College’s Find a Vet search tool was relaunched earlier this year, allowing users to search for a veterinary surgeon, veterinary nurse or veterinary practice all in one place. The tool also includes new features such as displaying a practice’s visiting information (including opening hours and car parking); enabling users to ‘get directions’ via Google Maps; advertising a practice’s PSS accreditations and awards; and returning individual profile pages for veterinary surgeons and veterinary nurses.
To promote the free search tool the College will be encouraging visitors to take part in its Find a Vet dice game, as well as hosting a random draw photo competition which will encourage members of the public to find and photograph one of our veterinary surgeons or veterinary nurses who will be lost in the grounds of Blenheim Palace.
Another of the College’s promotional focuses is the new PSS. The new PSS is designed to provide a greater focus on how practices use their resources to create a positive outcome for patients and clients, and allows for practices to distinguish the areas in which they excel through its awards system. The College says it is using BBC Countryfile Live to raise the profile of PSS and make animal owners more aware of the various available accreditation levels.
Ahead of the event, the RCVS is running social media competitions to give away 15 free pairs of tickets: on Facebook (/TheRCVS); Twitter (@RCVS_UK); and its new Instagram account (@thercvs). The competitions ends Friday 29 July, with winners being announced that day at 5pm. Tickets will allow entry on Thursday 4, Friday 5, and Sunday 7 August.
Four separate studies are included in the collection, reporting novel risk factors for the disease, identifying key differences between EGS and botulism (questioning the hypothesis that EGS is caused by neurotoxins from Clostridium botulinum), reporting a novel diagnostic technique and showing the value of monitoring weight loss to help predict whether individual horses with chronic EGS are likely to survive.
The publishers say that despite more than 100 years of research, supported predominantly by the The Moredun Foundation Equine Grass Sickness Fund (www.grasssickness.org.uk), the cause of EGS remains unknown. Since it almost exclusively affects grazing horses, a pasture derived neurotoxin is implicated. EGS causes gut paralysis as a result of damage to parts of the nervous system that control involuntary functions. Acute and sub-acute EGS is invariably fatal while around 55% of chronic cases can survive and return to a useful working life. The UK has the highest incidence of EGS in the world; indeed it is estimated that the disease kills between 1 and 2% of horses in the United Kingdom annually. Cases are more common in spring.
In terms of risk factors, the study ‘Equine grass sickness in Scotland: A case-control study of environmental geochemical risk factors’ suggests that the high incidence of the disease in Eastern Scotland may be partly associated with the particular composition of macro and trace elements in the soil in the fields on which horses graze. Further work is required to determine whether interventions to alter concentrations of particular elements in soil could potentially reduce the risk of EGS.1
A second study identified key differences between EGS and botulism, which questions the currently favoured hypothesis that EGS is caused by neurotoxins from Clostridium botulinum, a bacterium which commonly inhabits soil. The study ‘Equine grass sickness, but not botulism, causes autonomic and enteric neurodegeneration and increases soluble N-ethylmaleimide-sensitive factor attachment receptor protein expression within neuronal perikarya’ suggests that EGS is unlikely to be caused by neurotoxins from this bacterium and concludes that further investigation of an alternative cause for EGS is needed.2
While the majority of horses with EGS can be readily diagnosed by experienced veterinary surgeons, some cases present a diagnostic challenge. Indeed the only way to definitively diagnose the disease in a live horse is to demonstrate the characteristic degeneration of nerves within biopsies of the intestine. Unfortunately these biopsies can only be collected by performing abdominal surgery under general anaesthesia. In the study ‘Neuronal chromatolysis in the subgemmal plexus of gustatory papillae in horses with grass sickness’ characteristic degeneration of nerves was identified in small biopsies collected from tongues of EGS horses during post mortem examination. Examination of these biopsies accurately differentiated control horses from EGS cases. While further validation of this technique is required, it could potentially provide a relatively non-invasive method of confirming the diagnosis in a live horse.3
While around 55% of horses with chronic EGS survive, objective criteria for predicting survival of these cases are currently lacking. The study ‘Bodyweight change aids prediction of survival in chronic equine grass sickness’ reported that non-survivors had greater rate and magnitude of bodyweight loss than survivors. Survival prediction curves were published to allow veterinary surgeons and horse owners to use body weight data to help determine whether an individual horse with chronic EGS was likely to survive or die.4
Professor Bruce McGorum, Head of the Equine Section at the Royal (Dick) School of Veterinary Studies & Roslin Institute in Edinburgh, has been leading much of the research. He said: "Given that our recent research suggests that EGS is unlikely to be caused by neurotoxins from Clostridium botulinum we are now moving on to determine whether EGS is caused by ingestion of mycotoxins produced by pasture fungi. We are very pleased that The Horse Trust (www.horsetrust.org.uk) has provided funding for this three-year investigation."
Professor Celia Marr, Editor of the Equine Veterinary Journal said: “While the cause of equine grass sickness continues to evade us, these papers present an optimistic step in the right direction for the eventual prevention of this dreadful disease. It is only with the support of the Moredun Foundation Equine Grass Sickness Fund and more recently that of The Horse Trust that our world-leading veterinary researchers are able to continue to unravel the mystery.”
The EVJ equine grass sickness collection can be downloaded at http://bit.ly/2dC7Drr
The objectives of the study1 were to assess the impact of the pandemic on the management of laminitis susceptible horses and ponies, to identify challenges faced in implementing COVID-19 based guidance, and to ascertain areas of decision making and policy development which could undergo improvement in future pandemic or emergency scenarios.
Lead author Ashely Ward, a PhD student at SRUC said: "We discovered that lockdown-associated factors had the potential to compromise the welfare of horses and ponies at risk of obesity and laminitis.
“These included: disparate information and guidance, difficulties enacting public health measures in yard environments, and horses having reduced exercise during the pandemic.
"Our conclusion was that guidelines should be developed for the care of horses and ponies at risk through collaborative input from veterinary and welfare experts. This would help to reduce the negative impacts of future lockdown events in the UK.”
Clare Barfoot RNutr, Marketing and Research and Development Director at Spillers said: “This work carries important recommendations to reduce equine welfare risks during any future lockdowns.
“This summer our primary focus has been on helping horse owners keep their horses at a healthy weight to reduce the risks associated with obesity, in particular laminitis. Until formal guidelines are developed we hope our range of practical advice, available online and via our Care-Line will help, should there be another lockdown."
The study was conducted in tandem with research looking at how the challenges brought about by the Covid-19 lockdown affected horse on the human/animal interaction. The conclusion, disseminated by SRUC last week, concluded that the coronavirus pandemic had a negative impact on the mental health and wellbeing of horse owners. https://www.sruc.ac.uk/all-news/horse-power-helps-owners-through-lockdown
The British Veterinary Association has welcomed the European Parliament vote to improve the labelling of food, including new country of origin labelling and a requirement to label meat from animals slaughtered without stunning (according to certain religious traditions).
The BVA believes that all animals should be stunned before slaughter, for welfare reasons. However, as long as slaughter without stunning is permitted the BVA has argued for any meat from this source to be clearly labelled to enable all consumers to fully understand the choice they are making when buying such products.
Meat from slaughter without stunning currently enters the mainstream food chain without being labelled as such, leaving consumers unaware.
The European Parliament also voted to extend country of origin labelling to all meat, poultry, dairy products and other single-ingredient products as well as all meat, poultry and fish when used as an ingredient in processed food. Importantly, meat labels should indicate where the animal was born, reared and slaughtered.
The UK enjoys some of the highest animal welfare standards in the production of food and the improved country of origin labelling will allow consumers to make a more informed choice.
The BVA is calling for one clear EU welfare label that takes into account the welfare of animals use in food production from birth to slaughter, including the production system, transport and method of slaughter.
Professor Bill Reilly, President of the BVA, said: "This is a huge step forward in improving the welfare of animals at slaughter. The more consumers understand these issues, the more consumer power can make a difference.
"The BVA has argued for some time for meat from animals slaughtered without the more-humane method of stunning should be labelled as such and we are delighted that the European Parliament supports this view.
"However, there are many issues associated with the welfare of animals in food production and the BVA would like to see the development of a clear welfare label that consumers recognise as a mark of higher animal welfare.
"Currently there are too many different labels that mean different things, which can be confusing for shoppers. One higher welfare label would go a long way to improving consumer choice and animal welfare."
The European Commission has agreed with the BSAVA and BVA that controls must be maintained to keep the UK free from the tapeworm Echinococcus multilocularis, and adopted a regulation that will permit pre-movement treatment for dogs travelling to listed Member States (i.e. the UK, Ireland, Finland and Malta).
In June Defra announced that the UK's derogation from European pet travel rules, which allows additional protection for the UK against rabies, ticks and tapeworms, would end on 31 December 2011. The movement rules on rabies and ticks will now be harmonised with the rest of Europe.
However, due to the significant public health risk posed by Echinococcus multilocularis, the BVA and BSAVA (working with Defra, the Federation of Veterinarians of Europe [FVE] and colleagues in Veterinary Ireland) continued to lobby the European Commission for controls on tapeworms to be maintained.
The regulation will ensure that a dog must be treated by a veterinary surgeon 24 to 120 hours (1-5 days) before entering one of the listed countries.
The BVA and BSAVA say they made a scientific case for a treatment window of 24-48 hours, but accept that the Commission had to find a compromise that would assist pet owners travelling during national holidays.
Harvey Locke, President of the BVA said: "This has been a long process but the BVA and BSAVA put forward the strong scientific case for the UK to maintain tapeworm controls and we are delighted that the European Commission has adopted this resolution.
"In our role as guardians of public health, vets were deeply concerned that the removal of tapeworm controls would see the introduction of EM to the UK and Ireland.
"Although relatively benign in dogs, the resulting disease in humans - alveolar echinococcosis - is an invasive, cancer-like cystic stage of the parasite, and is invariably fatal if not treated.
"The next stage of our lobbying will be to ensure that Member States and MEPs from across Europe support the UK's case for the additional controls."
Andrew Ash, President of BSAVA said: "Echinococcus multilocularis is a significant public health threat and we have worked hard to ensure the European Commission understands the potential impact of allowing this zoonotic disease to enter our country.
"The BVA and BSAVA will continue to promote the best possible health and welfare advice for pet owners taking their animals abroad. Our advice to owners is to speak to a vet as early as possible to make sure pets are protected from all diseases and parasites encountered abroad."