Free places on Vétoquinol's webinar: 'Chronic Pain in the Geriatric Dog: Decision Making and Risk Management' are going fast, according to the company, and those wishing to attend are being advised to register as soon as possible.

Vétoquinol says that at one point, 200 vets registered in just 3 hours, demonstrating the extent to which vets are finding this to be a challenging topic when it comes to managing their day to day case load.

The webinar takes place at 8.30pm on Wednesday 15^th June 2011 and the talk is being delivered by Dr. Jo Murrell, Senior Lecturer in Veterinary Anaesthesia at Bristol Vet School and holder of The European Diploma in Veterinary Anaesthesia and Analgesia. She said: "Decision making can be a complex business when so many factors have to be taken into account. We all see geriatric dogs with painful conditions reasonably frequently and concurrent diseases are common. I will be aiming to describe a way to balance out the risks and benefits, to take into account client's concerns and develop a more logical, rational approach to treatment."

To register for the free webinar go to www.thewebinarvet.com/vetoquinol. Enter the code veto11 to obtain the webinar free of charge.

In an article published in the autumn edition of the Equine Veterinary Journal, Professor René Van Weeren, Chair of Equine Musculoskeletal Biology at Utrecht University, suggests that equine lameness needs to be redefined to reflect new digital assessment techniques that use preset parameters to detect gait asymmetries.¹

The traditional method for detecting equine lameness is subjective, using expert visual evaluation of gait to identify the presence or absence and degree of asymmetries. The lame horse is described as having a disorder, defect or loss of function and this clinical diagnosis has associated welfare implications if the horse is still asked to perform.

The article explains how advanced computer technology is starting to change all this. Optic motion capture or the use of inertial measurement units (IMUs) is now enabling the detailed study and quantification of the horse’s gait; objective assessment against preset thresholds. The paper points out that while these digital systems can overcome the temporal and spatial limitations of the human eye they simply rely on one or a number of set gait parameters to decide about lameness and this can present obstacles.

Thresholds are forcibly based on a limited reference population, which doesn’t adequately reflect the millions of horses in the world. The individual environmental and mental conditions for each horse and its day-to-day gait variations are also not accounted for. On this basis to use the term ‘lame’ because a horse demonstrates a subtle gait alteration, causing it to fall below the threshold, could be inappropriate, particularly as it may not affect the horse’s welfare in any way.

Professor Celia Marr, Editor of the Equine Veterinary Journal said: "An important first step is for researchers and clinicians to start to discriminate clearly between 'asymmetry' and 'lameness' and not to use these as interchangeable terms when interpreting gait analysis data. Asymmetry is often, but not always, a hallmark of lameness, but is not a clinical term, whereas lameness is."

1. Do we have to redefine lameness in the era of quantitative gait analysis? P.R. van Weeren, T. Pfau, M. Rhodin, L. Roepstorff, F. Serra Bragança, M.A. Weishaupt. Equine Veterinary Journal 49, 567-569.

Linnaeus-owned Southfields Veterinary Specialists has opened its new purpose-built 42,000 sq ft referral centre in Basildon, Essex. 

The centre, which is one of the largest animal hospitals in the UK, offers 14 specialist-led services.  

Hospital director Daniel Hogan said: “The new hospital will provide the region with one of the largest and best-equipped veterinary centres in not only the UK, but also throughout Europe, with an extensive range of expertise in a wide variety of disciplines all under one roof. 

“There will be seven operating theatres, 16 consultation rooms, recovery suites, lecture halls, a dedicated ICU department and there are plans for a future hydrotherapy suite. 

“The facilities also include a cutting-edge imaging suite, comprehensive treatment facilities and a new linear accelerator to assist our illustrious oncology team.

"We also plan to launch our emergency and critical care service in the first half of 2023.” 

Southfields says it also aims to lead the industry in terms of staff wellbeing and sustainability. 

Daniel said: “The increased size of the hospital will enable us to provide a dedicated staff wellbeing area and offer a range of activities which will benefit our team in both body and mind. 

“Along with exercise and relaxation classes such as yoga and boxercise, we will have an education centre which will be able to offer some really exciting qualifications and courses for the wider profession. 

“We’ll also be striving to care for both our community by working with Investors in the Environment (iiE) to introduce a bold green initiative to substantially reduce our environmental impact and enhance our sustainability. 

https://southfields.co.uk/veterinary-professionals/new-hospital 

Following Intervet Schering-Plough's launch of Plerion, a chewable, flavoured wormer for dogs, the company has launched a consumer viral marketing campaign in which they invite pet owners to 'Primp Your Pooch' at the website www.plerion.co.uk.

In the press release, the company says: 'educating clients on worming has never been more fun'. Whilst you might not think that an especially big achievement, it is certainly a polished looking website, and there's a novel competition on the site: owners are invited to upload a photograph of their dog, 'primp' it with a variety of hairstyles and fashion accessories, and then get others to vote for them to win £1000 of luxury spa vouchers.

The launch of Primp Your Pooch follows the award-winning Plerion Showtime web campaign which featured a variety of singing and dancing dogs and achieved an average 1,500  hits a month on the Plerion micro site. Sarah-Jane Minter, marketing Manager at Intervet/Schering-Plough said: "We are always trying to create new and interesting ways to engage with pet owners and have found the web to be a useful platform to drive consumer awareness, as owners enjoy the interactive element that this format offers. The site takes an uninteresting topic and gives it interest to owners. The viral aspect is achieved through social media as consumers are able to share the website with friends via Facebook or email."

As well as an extensive online advertising campaign the Primp Your Pooch campaign will be supported by in practice information. Speak to your local Intervet/Schering-Plough Veterinary Business Manager or phone the company's Veterinary Support Group on 01908 685685 for further information.

Veterinary practices are being urged to raise awareness of summer skin conditions, such as sweet itch, following research carried out by Elanco Companion Animal Health, distributor of Cavalesse, which revealed that vets only tend to be consulted after horse owners have tried to manage the condition themselves (73%), or if the clinical signs have become severe (67%), potentially leading to major welfare implications.

According to the research, this is despite the fact that over half (55%) of owners of a horse with sweet itch showed concern that their horse will suffer, and nearly half being stressed about the way the condition will affect it (47%).  While many horse owners are fairly knowledgeable about the causes of sweet itch and its clinical signs, over a quarter of respondents (26%) did not start managing the condition before the midge season in the spring, which may make managing the condition more frustrating.  Nearly a third (31%) stated that they had to curtail their activities with their horse due to welfare, aesthetic and behavioural issues, such as head shaking, rubbing, unpredictability and aggression.

Ed Whittle, technical consultant at Elanco Companion Animal Health said: "86% of those questioned considered sweet itch to be a very serious welfare issue if left untreated, with the worst aspects of the condition being the suffering and distress caused by the constant irritation which affects the quality of life of the horse. Over half (55%) felt that sweet itch had adversely affected the behaviour of their horse, making them difficult to handle or ride. Veterinary practices should be proactively talking to their clients about summer skin conditions such as sweet itch to help alleviate the suffering and distress caused by this frustrating disease."

Elanco says it will be joining forces with the British Horse Society (BHS), The Blue Cross, The Horse Trust, Redwings Horse Sanctuary and World Horse Welfare (WHW) to raise awareness of summer skin conditions, such as sweet itch, during Sweet Itch Awareness Month (SIAM) in March. The campaign will highlight the preventative measures that should be carried out to help alleviate sweet itch and the importance of management of the condition before the start of the midge season in the spring.

Lee Hackett, head of welfare at the BHS, said: "The results of this survey show just how important raising awareness of sweet itch is. All of us, whether we are welfare organisations or vets, need to play our part in educating owners about sweet itch in the hope that they will seek expert advice at an earlier stage and reduce the number of horses that suffer as a result of this condition."

Kerry Taylor, education officer at The Blue Cross, said: "The Blue Cross is pleased to be supporting the sweet itch campaign to raise awareness of the physical and mental impact this condition has on horses. During our May 2011 National Equine Health Survey, skin problems came out the top syndrome affecting horses, and we continue to see many horses coming into our care suffering from sweet itch. Prevention and early treatment is key to managing the potentially debilitating condition."

For further information on sweet itch, Sweet Itch Awareness Month or Cavalesse, please visit http://www.fidavet.com/, or contact Elanco Companion Animal Health, Lilly House, Priestley Road, Basingstoke, RG24 9NL, 01256 353131.

Reference

Sweet itch - effect on horse and owner.  Mo Gannon & Associates.  Web survey in November 2011.  351 responses - owners who have owned horses with sweet itch in the last two years.

CVS has reported the results of a clinical improvement project it ran in 105 of its first opinion small animal practices to increase screening for hypertension in older cats.

According to the company, participating practices more than doubled the number of blood pressure checks they conducted, within 12 months. 

The CVS’ clinical improvement project initially looked at how effective its first opinion small animal practices were in screening older cats for hypertension.

In line with the veterinary industry norm, it found that less than two per cent of cats over the age of seven were receiving an annual blood pressure check.

This initial research also found that the common barriers to conducting blood pressure checks by vets and veterinary nurses in practice were due to time constraints, availability of equipment and simply remembering to discuss blood pressure checks with owners.

Each CVS site chose two people to lead the initiative at their site, to aid communication and delivery.

A document was created to help, providing background, aims, summary of resources and planning sections.

Contributory factors preventing delivery of blood pressure checks were outlined and practices were encouraged to identify additional barriers and resources needed.

A suite of resources were then produced to support the practice team - from reception to veterinary surgeons - in improving annual blood pressure check rates.

The resources included new clinical frameworks and veterinary guidelines on how to treat hypertension; in-practice educational resources to highlight the benefits of hypertension screening and information sheets and blood pressure diaries to help clients manage their pets condition.

To upskill and develop colleagues in how to identify and treat hypertension and resulting conditions, a collection of training materials was created and training sessions held.

These included a series of webinars which explained why hypertension is important to identify, how to overcome common challenges encountered when looking for hypertension in cats, how to use the ophthalmic exam to help diagnose hypertension and how to treat hypertension.

Three in-person CPD days were hosted with the support from Ceva six months into the project where feline specialists Sarah Caney and Samantha Taylor shared the latest evidence base in this field and practices were encouraged to share barriers, queries and tips, so that ideas could be taken away to make blood pressure screening a simpler process in practice.

Practices were also encouraged to organise lunch and learn CPD sessions, to share best practice and generate discussion within their team.

In addition, a website was created to host all resources in one place, including webinars, clinical frameworks, client resources, a discussion forum and data.

An audit of each participating practice’s blood pressure check data was conducted at the start of the project.

Results were then shared with each participating practice every month - including the total number of blood pressure checks performed each month and the percentage of cats over the age of seven who had an annual blood pressure check.

Twelve months after its nation-wide launch, results reveal that the number of blood pressure checks have more than doubled (110%) within participating CVS practices and an additional 5,984 blood pressure checks have been performed year on year.

A number of practices were able to implement systems that allowed them to perform over 40 blood pressures each month.

The number of cats on amlodipine (the first choice medication to treat hypertension in cats) increased by 303 patients year-on-year, hinting many more cats had been diagnosed with hypertension.

Kate Allgood, Hub Clinical Lead at CVS who was responsible for the hypertension clinical improvement project, said: “There is a huge benefit in treating hypertension.

"No one wants to see a cat suddenly become blind due to hypertension that wasn’t recognised in time.

"So many associated longer-term feline complications and conditions can be avoided if annual blood pressure checks in cats over the age of seven are routinely performed.

"Increasing blood pressure screening is not a simple task though, and this focus has allowed space and time for practices to give this topic the recognition it deserves; to identify and implement systems that make it easier to identify patients at risk, discuss with clients and perform these checks with ease.

"We have created a robust clinical structure, produced some easily accessible materials and supported our practices to make small and simple changes that add up.

"Our practices have done an outstanding job at delivering this project to date and I look forward to seeing what can be achieved in the future. We strongly believe that this work will contribute towards providing some of the best clinical care for cats in the veterinary profession.”

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.

Dechra Veterinary Products has launched two new initiatives to improve dispensing in veterinary practices in the UK and Ireland.

The company has introduced a new online range of pack inserts for several of its key products including Vetoryl, Felimazole, Metrobactin and Thyforon so veterinary practices can download and print the latest pack inserts for the treatments.

The move will ensure that practices always have access to the most up-to-date information about the prescribed medication. Dechra says it will also save time as staff will not have to copy original documents from the pack.

The pack inserts will be available via www.dechra.co.uk and www.dechra.ie. In addition, Dechra has developed dispensing envelopes which are available at no charge from wholesalers in packs of 25.

Larry King, Marketing Manager, said: "Veterinary practices often dispense pharmaceuticals from bulk which involves having to copy original pack inserts for owners.

"By printing the online pack inserts, practices will no longer have piles of inserts to store and will be safe in the knowledge they are supplying the most up to date pack insert to their clients.

"When used together, the pack inserts and dispensing envelopes provide practices with an effective solution when dispensing from bulk."

A new expert panel has been formed to evaluate pain management in canine osteoarthritis following a recent shift to a more integrated approach to pain and disease research.

In the past, pain and joint disease have been considered as separate areas of research, with pain perceived simply as a consequence of disease. Over the last few years, however, it has become increasingly apparent that the relationship is far more complex and that pain may be a driver of disease rather than just a consequence of it. The expert panel hopes to apply the new knowledge to the management of joint pain in veterinary practice.

The panel, which had its inaugural meeting in Paris recently, brings together acknowledged veterinary experts in the fields of pain and joint disease. Its focus will be on the assessment and management of pain in canine osteoarthritis (OA), with the objective of educating veterinary surgeons to better understand and manage pain in canine OA and thereby improve the well-being of pets that suffer from this common disease.

'Central sensitisation' is one of the latest theories that has been suggested to explain the complex interaction between pain and disease progression in canine OA. Duncan Lascelles, Associate Professor of Surgery at North Carolina State University, said that research has shown that the components of the pain pathway can change in response to a pain stimulus. Pain receptors 'up-regulate' in response to painful stimuli and become more sensitive to subsequent pain.

CNS sensitisation is likely a significant contributor to chronic or maladaptive pain; this pain leads to decreased mobility, reduced muscle support and reduced muscle function, thus leading to disease progression. In other words, joint diseases cause pain, which in turn feeds back to create more disease.

Professor Lascelles said: "The link between the clinical signs associated with OA and joint pathology is not a simple one and may be much more complex than we have previously thought.

"There is some evidence that COX inhibition reduces central sensitisation. And some evidence suggests that reducing central sensitisation may have a modulatory effect on disease progression by reducing signals going out to the periphery.

"The relationship between pain and disease progression is a very new area of research, and is at the forefront of our knowledge of how pain and joint disease are linked."

Professor John Innes, Head of Division, Small Animal Studies, University of Liverpool Veterinary School, told the meeting that OA is likely to be one of the major reasons for euthanasia of pet dogs in Europe. He and two co-investigators have performed a systematic review of the published evidence for the use of long-term, continuous NSAID treatment (at least 28 days) in OA. They found that this form of management is associated with better outcomes than short-term NSAID therapy, with no evidence of additional safety issues. This review is to be published shortly.

The expert panel comprises:

Prof Dr Stuart Carmichael, Vets Now Ltd. Formerly at: Veterinary School, University of Glasgow, UK
Prof Dr John Innes, Small Animal Teaching Hospital, University of Liverpool, UK
Dr Bernard Bouvy-Centre, Hospitalier Vétérinaire de Frégis, Arcueil, France
Prof Dr Jean-Pierre Genevois, Ecole Nationale Vétérinaire de Lyon, France
Dr Carlos Macías, Centro Veterinario de Referencia Bahia de Malaga, Spain
Prof Dr Martin Kramer, Klinik für Kleintiere, Chirurgie , Justus-Liebig-Universität Gießen, Germany
Dr Sabine Tacke, Klinik für Kleintiere, Chirurgie, Justus-Liebig-Universität Gießen
Prof Dr Duncan Lascelles, North Carolina State University College of Veterinary Medicine, Raleigh, USA
Prof Dr Herman A.W. Hazewinkel, Faculteit Diergeneeskunde, Departement Gezelschapsdieren, Utrecht, Netherlands
Dr Emilio Feltri, Anaesthetist and specialist in Pain Management, Ambulatorio Veterinario Associato, Tortona, Italy
Dr Peter Vandekerckhove, Specialist Surgeon Companion Animal, Wondelgem, Belgium

A survey commissioned by a new Sky TV series, Pets for Life, carried out in association with The Blue Cross, has found that 500,000 (2%) of Britain's 24 million pet owners say they no longer have money for their pet's food and are reduced to feeding the household animal with leftovers.

The survey also found that while two-thirds of pet owners dig deep into their pockets to find an average of £11.04 each week to care for their pets, one in five (21%) say they are dropping essentials such as visits to the vet in a bid to bring the weekly pet bill to under £5. 

The poll of 1,200 pet owners indicated that higher insurance premiums, rising vet bills and rocketing pet-food prices have pushed the cost of owning a pet up to £574.08 a year.  Nearly half of pet owners (47% or 12.2 million people) now spend an average of £9.40 on their pet each week, with a further 15% (3.9 million people) spending £19.50 a week, and 7% (1.8 million people) forking out more than £60 a week to keep their animals healthy and happy.

This comes as The Blue Cross revealed a 19% increase in stray and abandoned animals taken into its adoption centres in the last year compared to the same period the year before, with a total of 38 rabbits, 979 cats, and 419 dogs left to wander the streets. In addition, over 4,000 animals were given up voluntarily, many for financial reasons such as the owner being made homeless, having to move house or losing their job.

Laura Sleight, head of media relations at The Blue Cross said: "We pride ourselves on being a nation of animal lovers, but the sad reality is that some pet owners can either no longer afford to keep their pets or are unable to provide a suitable home for them.  Animals add so much to our lives but it's important that people understand the cost, time and commitment involved before taking one on. Pets for Life aims to tackle these issues and provide real solutions to the everyday problems that can result in animals being given up or abandoned."

Pets for Life is on Sky Showcase (Channel 201, Freesat 403) on Sunday 8th May at 6:00pm and on Tuesdays at 7:30pm (repeated on Sundays) for at least a further seven weeks thereafter. 

BCF Technology is offering up to 35% off a variety of ultrasound and x-ray equipment until the end of February.

The offers are available on x-ray generators and ultrasound products such as the Medison Sonovet R3, GE C5 and Zonare.

For more information, visit the BCF website: www.bcftechnology.com, or ring 01506 460023.

Offers end 24th February and are subject to availability.

For veterinary surgeons and VNs who missed out on the BVDA 'Improving Periodontal Health' lecture tour last year, a further six have been organised for this autumn.

Speakers include Norman Johnston BVM&S, MRCVS, Ex President of the European Veterinary Dental College, John Robinson BDS (Lond) Dentist to the Veterinary Profession and Lisa Milella BVSc, MRCVS President of the British Veterinary Dental Association (BVDA).  This year's events see the content extended to include resorptive lesions, fractured teeth and dental radiography with greater emphasis on feline oral care.

According to Lisa, the 2010 lecture series helped alert vets and VNs to the importance of oral health, benefitting both pet and practice. "It takes five years at vet school to qualify yet only three or four days are devoted to dentistry, so it's no surprise that many vets and VNs enter the profession with only a basic understanding of oral health.

"We know that four out of five dogs over the age of three show signs of periodontal disease but unfortunately many go untreated. This is mainly because the problems that this can lead to are not fully understood."

She added: "These seminars will not only help delegates to recognise early signs of oral disease but also offer practical guidance on how practices can educate pet owners in the importance of oral care."

Lisa believes that both practices and owners benefit from good oral hygiene programmes. "As a profession we need to do more to help educate pet owners in the value of good oral care. Practices should be talking to their clients from day one about preventative programmes, rather than wait until the damage is done."

The six UK events are:

• Cardiff Sept 14th, Glasgow, Sept 16th
• Sevenoaks Sept 28th
• Manchester Oct 19th
• Darlington Oct 26th
• Birmingham Oct 28th.

The evening seminars, which are open to both vets and nurses, contribute two hours CPD and cost £35 per person and £25 for each subsequent delegate. A special group rate of £100.00 is available for any practice that wishes to send a group of four. For anyone wanting to reserve a place, please call the BVDA lecture tour reservation line centre on 01664 415 503.

The RCVS Disciplinary Committee has reprimanded a veterinary surgeon for submitting a certificate of Clinical Inspection for Veterinary Inspectors ("TB52") for tuberculin tests he had undertaken on cattle, despite knowing that he had not fully complied with the standard operating procedures (SOP) for these tests.

At the outset of the three-day hearing, John Wilson admitted that, when acting as an Official Veterinarian (OV) he had not carried out tuberculin tests on cattle at a Wiltshire farm on 19 May 2011 strictly in accordance with the SOP required by the Animal Health and Veterinary Laboratories Agency (AHVLA), an executive agency of Defra.

The admitted shortcomings were that on 19 May, the second day of testing, Mr Wilson had failed to confirm the identity of all the animals, failed to inspect the animals digitally (ie using his hands) and had not measured the fold of skin at the injection site of all the animals. The College argued that this was contrary to the directions of the AHVLA and, in subsequently signing the TB52 certificate, he was either dishonest or should have known that the certification was incorrect. Mr Wilson admitted that he ought to have known the certification was incorrect but denied dishonesty, because he believed that he had conducted the test in a satisfactory manner and had correctly identified all the reactors in the herd.

Mr Wilson was a veterinary surgeon of over 40 years experience and unblemished record, and the Committee found his account of events to be accurate and honest. He said the farm involved was unprepared and test arrangements were chaotic, with poor handling facilities, and he would have been concerned for the safety of the animals and their handlers if he had complied fully with the SOP. He had advised the farmer to delay the test but his advice was rejected.

The Committee accepted that the testing had been carried out under exceptional and difficult circumstances. It noted that Mr Wilson had identified a reactor and taken appropriate actions, knowing that the outcome would be the quarantining of the whole herd. He had made no financial or other gain, other than the nominal fee charged for the work. Although failing to comply with the SOP fell short of what was expected of a veterinary surgeon, because of these circumstances, and as he had acted in what he considered to be the best interests of the animals and personnel, these actions did not amount to serious professional misconduct.

The Committee found that, even allowing for these difficulties and concerns, in signing the TB52 certificate a few days later, without any qualification, Mr Wilson ought to have known that it was incorrect, and his actions fell far short of the standards expected of the veterinary profession. They did not however find that he had been dishonest.

The Committee stressed the importance attached to accurate and reliable certification, in maintaining the confidence of the public and the profession, and in ensuring animal welfare.

Professor Lees, chairing and speaking on behalf of the committee said: "The Committee is aware, as confirmed by AHVLA, that this is a single, isolated event and the first offence in some 40 years of the Respondent working as a LVI [local veterinary inspector] or OV. After considering all the mitigating factors.and, given the exceptional circumstances of this specific case, the decision of the Committee is to reprimand Mr Wilson."